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Journal of Bone and Joint Surgery, 1924;6:95-132.
© 1924 by The Journal of Bone and Joint Surgery, Inc

THE RESULTS OF TREATMENT FOLLOWING COMPOUND FRACTURES OCCURRING IN CIVIL LIFE

ROBERT JAY COOK M. D.1

1 Assistant Professor of Surgery, Yale University, New Haven, Conn.

Death occurred in three cases treated by the method of aseptic occlusion: two of septicemia and one of a gas bacillus infection. Under this method a leg was amputated in two cases for chronic osteomyelitis.

In the cases treated by drainage gas bacillus infection developed in one case and the leg was amputated.

In the cases treated by the Carrel-Dakin method it was necessary to amputate a limb in which gas bacillus infection was present.

In the cases treated by débridement and suture two cases, both of which were completely bébrided, died from a gas bacillus infection, and in two cases of gas bacillus infection it was necessary to amputate a limb.

When wounds are found to be infected by the streptococcus it is necessary to open the wound widely and desirable to treat the wound by the Carrel-Dakin method.

When a gas bacillus infection is present, amputation above the level of the infection should be done.


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