Contents
FOREWORD
By Maj. Gen. S. B. Hays
PREFACE
By Mather Cleveland, M. D.
INTRODUCTION
By Mather Cleveland, M. D.
Part I
ADMINISTRATIVE AND RELATED CONSIDERATIONS
By Mather Cleveland, M. D.
Chapter
Functions of the Senior Consultant
Junior-Consultant System
Consultants in Army Areas
Evaluation and Assignment of Personnel
Tour of Hospitals in the United Kingdom Base, November 1944
Tour of Hospitals on the Continent, 23 November-3 December 1944
General Considerations
Methods of Training
Professional Conferences
IV. HOSPITAL FACILITIES AND ORTHOPEDIC EQUIPMENT
Hospital Facilities
Equipment and Supplies
V. MASS MANAGEMENT OF CASUALTIES WITH BONE AND JOINT INJURIES
Transit Hospitals
General Hospitals
VI. MANAGEMENT OF BONE AND JOINT INJURIES IN PRISONERS OFWAR
VII. REPRESENTATIVE HOSPITAL EXPERIENCES
298th General Hospital
50th General Hospital
217th General Hospital
Fifteenth United States Army Hospitals
Part II
CLINICAL POLICIES AND PRACTICES
By Mather Cleveland, M. D.
VIII. GENERAL CLINICAL POLICIES
Evolution of Clinical Policies
Establishment and Dissemination of Policies
General Medical Policies
Evacuation Policies
IX. THE MANAGEMENT OF COMPOUND FRACTURES-INITIAL AND REPARATIVE WOUND SURGERY
Development of Policies
Debridement
Delayed Wound Closure
Management of Fractures
Results of Delayed Primary Wound Closure in Compound Fractures
Combined Nerve-Bone Injuries
Combined Vascular-Bone Injuries
X. THE MANAGEMENT OF COMPOUND FRACTURES-TECHNIQUES OFFRACTURE MANAGEMENT
Plaster of Paris
Tobruk Splint
Skeletal Traction
External Fixation
Internal Fixation
Forearm
Clavicle
Humerus
Pelvis
Spine
Femur
Tibia and Fibula
Ankle
Foot
Incidence and Case Fatality Rates
Evolution of Techniques
Special Considerations of Traction
Amputations Caused by Special Types of Missiles
Resuscitative Measures
Supplemental Therapy
Chemotherapy and Antibiotic Therapy
Psychotherapy
XIV. POSTOPERATIVE COMPLICATIONS
Wound Infections
Osteomyelitis
Secondary Hemorrhage
Decubitus Ulcers
Rehabilitation Hospitals
Physical Therapy Programs
Replacement Centers
General Considerations
Elective Surgery
Disabilities of the Feet
Part III
SPECIAL TYPES OF BONE AND JOINT INJURIES
By Marshall R. Urist, M. D. and Mather Cleveland, M. D.
XVII. COMPLETE DISLOCATIONS OF THE ACROMIOCLAVICULARJOINT
Anatomic Considerations
Mechanism of Injury and Nature of Lesion
Pathologic Process
Diagnosis
Management
Associated Fractures
Complications and Sequelae
XVIII. BATTLE-INCURRED COMPOUND FRACTURES ABOUT THE HIPJOINT
Emergency Measures
Initial Wound Surgery
Surgical Approach to the Hip Joint
Management of Retained Foreign Bodies
Wound Closure
Adjunct Fracture Management
Adjunct Therapy
Complications of Hip Injuries
Early Reconstructive Surgery
An Ideal Plan of Management
XIX. JEEP INJURIES OF THE HIP JOINT
Basic Information
Anatomic Considerations
Dislocations
Fractures of the Acetabulum Without Dislocation
Fracture-Dislocations
Followup Studies
XX. INJURIES OF THE KNEE JOINT
Nature of the Injury
Diagnosis
Initial Wound Surgery
Treatment in the General Hospital
Suppurative Arthritis
Analysis of Cases
APPENDIXES
A. Pertinent Directives
B. Proposed Revision of Manual of Therapy (Orthopedic Section)
