Acute Osteomyelitis in Children.
—Statistics from eight British hospitals supported Wakeley's25 contention that acute osteomyelitis was a disappearing disease. He suggested that the decrease of incidence was due to better hygiene and the earlier removal of possible septic foci. He questioned the general belief that trauma played an important part in the causation of the disease. Early drainage was indicated in all cases, a trephine being used at first in the juxta-epiphyseal diaphysis. The efficacy of multiple drill holes as a means of instituting drainage was doubted. In late cases, in which the whole of the diaphysis was involved in the disease, diaphysectomy followed by bone grafting was advised. Fixation of the limb was considered to be necessary to rest the inflamed bone and eliminate pain.
Treatment of Chronic Arthritis of the Spine.
—Swaim and Kuhns26 discussed the treatment of atrophic arthritis of the spine.