Excerpt from Boston Medical Library: In the Francis A. Countway Library of Medicine Boston
History. - The tendency of the surgery of the present day seems to be towards conservatism in recent traumatic cases, and towards more active operative treatment in chronic surgical maladies and deformities than was formerly considered justifiable. The advance in the latter direction is well shown by the present mode of dealing with deformities, the result of untreated or badly managed fractures; for it is only within the present century that surgeons have been agreed upon the propriety of operative interference in such cases. The idea of rupturing the callus in order to relieve deformity is by no means new, for Hippocrates, Celsus, Galen, Paulus ?gineta, and Avicenna discuss the matter as a resource of surgery to be employed in those instances where the degree of deformity is sufficient to demand treatment. The opinion of many succeeding writers was decidedly adverse to the measure, and Fabricius Hildanus, Pare, Petit, and Heister, either reject it altogether, or allow its employment only in the early stages of fracture.
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