Both lay and professional publications have shown increasing interest in the changes in medical care and its delivery. New drugs and operative techniques in all areas of medicine have altered and often increased the complexity of health care. Orthopedic surgery, like other specialties in medicine, is experiencing these changes.
A review of the operative procedures performed in the Department of Orthopedic Surgery at the University of Iowa Hospitals for the fiscal years of 1947-1948, 1958-1959, and 1969-1970 demonstrates some of the changes which have occurred during the past 20 years. As a referral center for the state of Iowa and western Illinois the changes in operative orthopedics at the University of Iowa Hospitals primarily represent those of reconstructive surgery.
The number of operative cases has remained about the same, with 1,132 in 1947-1948; 1,490 in 1958-1959; and 1,265 in 1969-1970. During the period between 1947 and 1970 the number of