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• W2114733862 abstract "If you are a master of the general principles and technical details of both external and internal fixation and are informed as to the results of such methods of treatment, and have a complete knowledge of the proper use of massage and active movement and can secure the patient's complete cooperation, your vision of the surgical treatment applicable to a given case of fracture of bone will be so broad, your selection of the treatment will be so wise, and your execution of the treatment chosen so ideal that the result both functionally and anatomically will be the best obtainable for that particular individual under the local conditions and environment found existing. The way to improve treatment is in three directions: Undergraduate instruction; Graduate instruction; Lay propaganda. 1.1. A great constructive movement is on foot to secure better undergraduate medical student instruction. It is having its effect. 2.2. A great movement is already under way in the United States to enlighten and sympathetically help the general practitioner in his handling of fractures. 3.3. Some appropriate day there will be an illuminating lay propaganda on fractures. Such propaganda will accomplish for fracture treatment somewhat the same result that already has been so well accomplished for cancer treatment. Such lay propaganda will provide the workman with the idea of where to find the best treatment and what he may reasonably expect from the treatment instituted in his behalf. Perhaps the day will never come when the free choice by a workman of the physician he employs when injured will be done away with, but the corporation and the insurance companies already recognize that they are together spending in this country and in this State millions of dollars for unsatisfactory initial treatment, resulting in long disability and in long reconstructive treatment. Initial bad treatment is the occasion of most of the expensive reconstructive treatment. Along with the above-mentioned movements, which are really irresistible, there are: 1.1. The equally important research laboratory investigations on bone repair; 2.2. The focusing attention in every large and small hospital upon each fracture patient as a peculiar problem requiring skilled attention; 3.3. The discussion by interested surgeons, on fracture services throughout this country, of the various problems coming up in individual cases of fractures; 4.4. The exchange of experiences between surgeons in the friendly visiting clinics; 5.5. The direct and intimate association of these experienced and inexperienced men in the care of these cases, transmitting thus habits of thought and details of treatment, creating thus a climate of surgical opinion that will find its way to the remotest community. From all these accumulated and accumulating experiences, facts are being arranged in an orderly fashion, from which will eventually emerge further sane and efficient practical suggestions, valuable for the general practitioner and for the surgeon." @default.
• W2114733862 created "2016-06-24" @default.
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• W2114733862 date "1926-07-01" @default.
• W2114733862 modified "2023-10-18" @default.
• W2114733862 title "When is the operative treatment of fractures of the long bones justified?" @default.
• W2114733862 doi "https://doi.org/10.1016/s0002-9610(26)90499-6" @default.
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