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Journal of Bone and Joint Surgery, 1938;20:985-989.
© 1938 by The Journal of Bone and Joint Surgery, Inc

GAS-BACILLUS INFECTION AS A COMPLICATION OF FRACTURES

DAVID M. BOSWORTH M.D.1

1 The Traumatic Service of the New York Polyclinic Medical School and Hospital

1. Prophylaxis with both gas and tetanus antiserum should be the rule in all cases of compound fracture.

2. Amputation should never be done for acute gas-bacillus infection, although it may later be necessary because of deformity.

3. Repeated massive doses of intravenous polyvalent serum should be continued until the gas-bacillus infection is controlled.

4. Drainage but not débridement should be instituted. Many tissues first thought to be dead will later be found viable.

5. X-ray therapy may yet prove to be of the greatest help.

6. Orr dressings and treatment may be safely carried out as in any other infection of bone, once the acute gas infection has been brought under control, without regard to the presence of bacillus welchii and its associates which remain lying apparently inert in the wound.


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