concluded with the following summary of the points involved in producing such an outcome: (1) Early operation, that is, as soon as it was certain that the disease was present and not yielding to conservative treatment ; (2) choice of a method of operating which preserved the integrity of all the important nerves and muscles; (3) removal of sufficient bone to insure free mobility; (4) immobilization in the extended position, with maintenance of the angle of deflection; (5) active motion at the end of three weeks. ANESTHESIA FATALITIES IN IOWA.