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RECURRENCE OF INFECTION AFTER ELECTIVE OPERATIONS IN CASES OF HEALED SUPPURATION IN BONES AND JOINTS

RECURRENCE OF INFECTION AFTER ELECTIVE OPERATIONS IN CASES OF HEALED SUPPURATION IN BONES AND JOINTS Abstract Elective operative procedures in cases of healed suppuration in bones and joints are frequent in the practice of the orthopedic surgeon. The frequency with which osteomyelitis or suppurative arthritis recurs as a result of common, everyday trauma is only too well known. Operative trauma, such as that associated with arthrodesis, arthroplasty or osteotomy, is little different from closed external trauma. One should, therefore, expect some recurrence of infection in healed suppurative lesions of bones and joints in the event of operation. Actually, such recurrent infection has been observed for a number of years, and the frequency with which suppuration recurs was the impetus for this analysis. According to Wilensky,1 destruction of trabeculae and subsequent hemorrhagic exudate result in an area of decreased resistance that can readily become infected with any available bacteria. The latency of osseous infection is a common disturbing factor, and there are frequently available bacteria in References 1. Wilensky, A. O.: Osteomyelitis , New York, The Macmillan Company, 1934. 2. Fraser, J.: Acute Osteomyelitis , Brit. M. J. 2:605-610 ( (Oct. 4) ) 1924.Crossref 3. Steindler, A.: Orthopedic Operations , Springfield, Ill., Charles C. Thomas, Publisher, 1940. 4. Hallock, H. Study and End Results of Seventy Arthroplasties and Reconstruction Operations on Hip Joint , Surg., Gynec. & Obst. 68:106-112 ( (Jan.) ) 1939. 5. Watson-Jones, R.: Fractures and Other Bone and Joint Injuries , Baltimore, Williams & Wilkins Company, 1940. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

RECURRENCE OF INFECTION AFTER ELECTIVE OPERATIONS IN CASES OF HEALED SUPPURATION IN BONES AND JOINTS

Archives of Surgery , Volume 41 (6) – Dec 1, 1940

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1940.01210060123011
Publisher site
See Article on Publisher Site

Abstract

Abstract Elective operative procedures in cases of healed suppuration in bones and joints are frequent in the practice of the orthopedic surgeon. The frequency with which osteomyelitis or suppurative arthritis recurs as a result of common, everyday trauma is only too well known. Operative trauma, such as that associated with arthrodesis, arthroplasty or osteotomy, is little different from closed external trauma. One should, therefore, expect some recurrence of infection in healed suppurative lesions of bones and joints in the event of operation. Actually, such recurrent infection has been observed for a number of years, and the frequency with which suppuration recurs was the impetus for this analysis. According to Wilensky,1 destruction of trabeculae and subsequent hemorrhagic exudate result in an area of decreased resistance that can readily become infected with any available bacteria. The latency of osseous infection is a common disturbing factor, and there are frequently available bacteria in References 1. Wilensky, A. O.: Osteomyelitis , New York, The Macmillan Company, 1934. 2. Fraser, J.: Acute Osteomyelitis , Brit. M. J. 2:605-610 ( (Oct. 4) ) 1924.Crossref 3. Steindler, A.: Orthopedic Operations , Springfield, Ill., Charles C. Thomas, Publisher, 1940. 4. Hallock, H. Study and End Results of Seventy Arthroplasties and Reconstruction Operations on Hip Joint , Surg., Gynec. & Obst. 68:106-112 ( (Jan.) ) 1939. 5. Watson-Jones, R.: Fractures and Other Bone and Joint Injuries , Baltimore, Williams & Wilkins Company, 1940.

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1940

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