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ARTICLE |

OPERATIVE TREATMENT OF RECENT FRACTURES AND NONUNION

HUGH H. TROUT, M.D.
Arch Surg. 1924;9(2):275-283. doi:10.1001/archsurg.1924.01120080041003.
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The prophylactic treatment of ununited fractures is of interest to all, and, while there are numerous other factors that should be considered, the early open operation, with the application of any type of non-absorbable internal splint, is one very definite cause of nonunion. Time prevents consideration in this paper of any other type of open operation, though there have been many recent improvements in early operative methods. Treatment with the Lane plate was selected not only because it is most frequently employed but also because probably the results of its employment are the most disastrous of the usual methods.

Inadequate fixation; too many readjustments; the wide separation of the fractured ends; the interposition of muscle, or a loose piece of bone, between the fragments; the lack of active and passive motion; interference with the blood supply; sclerosis of the end of the bones; infection; obstruction to, or impairment of, lymph

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