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Further Evaluation of the Use of Intramedullary Nailing in the Treatment of Gunshot Fractures of the Extremities
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Orthopaedic Service, Walter Reed Army Hospital, Washington, D. C.
1957 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1957 Jun 01;39(3):513-553
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1. Seventy gunshot fractures of the extremities were treated by intramedullary nailing. In sixty-two (88.6 per cent) of these fractures, the functional result was satisfactory.

2. Twenty-eight of the fractures were nailed prior to wound healing. In twenty-five of these fractures the results were satisfactory. In the group of fractures treated by immediate or slightly delayed wound closure, fourteen (87.5 per cent) of the results were satisfactory; and its the group of fractures in which the wounds were left wide open following nailinig, eleven (91.7 per cent) of the results were satisfactory.

3. In the group in which nailing was done subsequent to complete wound healing, thirty-seven (88.1 per cent) of the end results were satisfactory.

4. No fracture should be treated by intramedullary nailing unless the optimum operating conditions are present.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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