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J Bone Joint Surg Am, 1921 Apr 01;3(4):138-153
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1. Chronic Osteomyelitis is seen in a seriously large number of patients who have had bone injuries.

2. It is extremely chronic in its course and it is practically impossible to determine when a case is cured as some may lightup many years after they have been considered finished.

3. Efficient early treatment would lessen the chances of this chronic condition or possibly entirely prevent it.

4. That the methods tried in the real chronic stage are not very satisfactory, is evidenced by the large number and the variable results claimed, and the fact that we still see so many uncured cases.

5. Operative treatment is indicated in practically all of the cases.

6. The aims in the treatment are:

(a) To remove any remaining foreign bodies, sequestra, etc.

(b) To remove the infection.

(c) To obliterate the cavity.

(d) To fill in the space.

7. The space is filled most satisfactorily by the overlying soft parts if the trough can be made in a situation where plenty of tissue is available. If flaps are necessary muscle has been found best.

8. Conservative treatment rather than radical should be employed.

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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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