Journal Contents   |    
J Bone Joint Surg Am, 1931 Jul 01;13(3):438-475
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


1. Maggots have been found to be a tremendously useful adjunct to thorough surgical treatment of chronic osteomyelitis, and, in our opinion, are far more successful in securing permanent healing of these extensive wounds than any other method tried by us.

2. Maggots, by their digestive action, clear away the minute fragments of bone and tissue sloughs caused by operative trauma in a way not accomplished by any other means. This is a tremendously valuable asset in the healing of a wound.

3. Maggots cause wounds to become alkaline and in this way diminish growth of pathogenic bacteria.

4. Maggots seem to have other more subtle biochemical effects within the wound itself and perhaps cause also a constitutional reaction inimical to bacterial growth. This is under investigation.

5. Maggots as raised and sterilized in the manner described may be used in any wound without risk to the patient.

6. The post-traumatic or postoperative general condition of the patient is better in maggot treatment than in the older forms of treatment where infection was combatted by chemicals or other types of dressing. There is less absorption and less toxic reaction.

7. In open tuberculous abscesses, with or without secondary infection, wide exposure followed by maggot treatment has proved surprisingly effective in a small number of cases and will be given further trial.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    GA - Choice Care Occupational Medicine & Orthopaedics
    PA - Penn State Milton S. Hershey Medical Center
    MA - Boston University Orthopedic Surgical Associates
    OR - The Center - Orthopedic and Neurosurgical Care and Research