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Journal of Bone and Joint Surgery, 1920;2:33-42.
© 1920 by The Journal of Bone and Joint Surgery, Inc

THE TIME ELEMENT IN RECONSTRUCTIVE SURGERY

R. W. JOHNSON JNR.

(1) Time is necessary for conservatism and reconstruction.

(2) Time is valuable to the patient in many ways, to the State or employer as a financial consideration, and therefore cannot be invested without adequate return improvement.

(3) Time spent in prolonged treatment is dangerous to the patient.

(4) Therefore improvement must be greater, the greater the time involved.

(5) The dangers of time must be minimized by:

(a) Reduction to a minimum of confinement to bed.

(b) Keeping the patient in touch with the world of his normal life even though he is in bed, through personal interest and appropriate occupation, reading, lectures, etc. Maintenance of mental tone throughout course in hospital.

(c) Adequate employment in workshops for all up cases.

(d) Re-education and vocational training in certain cases.


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