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PHYSICAL MEDICINE IN THE TREATMENT OF FRACTURES

MILAND E. KNAPP, M.D.
JAMA. 1948;137(2):136-140. doi:10.1001/jama.1948.02890360018006.
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During the decade just elapsed the importance of physical medicine in the treatment of fractures has become increasingly recognized by the rank and file of the medical profession. In the past the attention of the surgeon has been focused primarily on the bone itself, and treatment has been designed to obtain adequate reduction and firm fixation of the bony fragments in order to obtain good union in good position. Often this has been accomplished by the use of heavy casts immobilizing many joints without consideration of the effect on the soft tissues. Such an attitude was unfortunate because the bones are only the supporting framework of the extremities and efficient function is the result of the normal interplay of muscles, tendons and joints under the control of an efficiently functioning nervous system.

The local treatment of a fracture is no longer merely a question of obtaining adequate reduction as shown

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