Treatment of Infected Bone Wounds

Frederic J. Cotton
1919 Boston Medical and Surgical Journal  
Of all the work of the reconstruction hospitals in the last year I have chosen to speak of the treatment of the septic bone conditions. First, because it has been, at its best, so good; second, because it is so eminently the contribution of military surgery in a field in which our civil practice has signally failed in the past; third, because there is danger that the successful methods evolved may not be applied to civil practice. This is because part of the success obtained depends on active
more » ... depends on active antisepsis in infected wounds -which in practice, so far, means a great deal of reliance on the Dakin solution and the Carrel technique. Now, there are many leading surgeons who are necessarily no younger than is convenient. Otherwise they would not be leaders. They have been for years past accustomed to snort violently at any statement of the efficiency of antiseptics in wounds and this sort of thing be-comes a reflex action very hard to correct, save in the young, even in the face of evidence. We have often heard, are due to hear from many men again and again in the coming year, that the Carrel-Dakin treatment is no good. Mostly these are men who never really tried it or saw it tried under favorable conditions.
doi:10.1056/nejm191909251811301 fatcat:olffwg4wa5hzhg2ayrbhahl6nm