In 1937 I published a paper on the treatment of compound fractures.1 That paper was based on the work done during the period from 1924 to 1934, whereas this paper covers the work done exclusively in the bone and joint service of the Boston City Hospital during the period from 1934 to 1939. Naturally, a considerable part of the earlier paper is incorporated in this one.
During the five year period from July 1, 1934 to July 1, 1939, there were 12,230 patients with fracture admitted to the Boston City Hospital as requiring "house" care. This number does not include the many hundreds of patients with fractures of the "immediate ambulatory" type treated on the accident floor or in the outpatient department. Of the 12,230 hospitalized patients, the bone and joint service treated 4,491, of whom 398 had the "open," or compound, type of fracture. It is the management