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ARTICLE |

BONE SKID

W. C. F. Witte, M.D.; Raymond L. Schulz, M.D.
JAMA. 1919;72(6):413. doi:10.1001/jama.1919.26110060003009d.
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ABSTRACT

During the open reduction of two cases of fractures of the lower end of the tibia that were somewhat impacted and had remained unreduced for periods of two weeks, considerable difficulty was encountered. The fractures were both of the spiral type, with an irregularly serrated fracture line and overriding and rotation of fragments. There was so much muscle tension during the period of contraction that the bony fragments could not be separated to any extent. Angulation and bringing the fragments together in proper alinement were impossible on account of the proximity of the fractures to the lower end of the tibia. A curved periosteal elevator was used as a pry, but it slipped up into the medullary cavity of the bone as soon as it got beyond a certain angle. To obviate this, an instrument was made, having a short curved tip and a larger secondary curve in the opposite

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