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Contents

Books and Documents

Contents

FOREWORD 
By Maj. Gen. S. B. Hays

PREFACE
By Mather Cleveland, M. D.

ACKNOWLEDGMENTS 

INTRODUCTION 
By Mather Cleveland, M. D.

Part I

ADMINISTRATIVE AND RELATED CONSIDERATIONS
By Mather Cleveland, M. D.

Chapter

I.     THE CONSULTANT SYSTEM 

        Functions of the Senior Consultant
        Junior-Consultant System
        Consultants in Army Areas
        Evaluation and Assignment of Personnel

II.     TOURS OF HOSPITALS 

        Tour of Hospitals in the United Kingdom Base, November 1944 
        Tour of Hospitals on the Continent, 23 November-3 December 1944

III.     TRAINING OF PERSONNEL

                    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 OF WAR 

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 OF FRACTURE MANAGEMENT 

                    Plaster of Paris 
                    Tobruk Splint 
                    Skeletal Traction 
                    External Fixation 
                    Internal Fixation 

XI.     REGIONAL INJURIES 

                    Forearm 
                    Clavicle 
                    Humerus 
                    Pelvis 
                    Spine 
                    Femur 
                    Tibia and Fibula
                    Ankle 
                    Foot 

XII.     AMPUTATIONS 

                    Incidence and Case Fatality Rates 
                    Evolution of Techniques 
                    Special Considerations of Traction 
                    Amputations Caused by Special Types of Missiles 

XIII.     ADJUNCT THERAPY 

                    Resuscitative Measures 
                    Supplemental Therapy 
                    Chemotherapy and Antibiotic Therapy 
                    Psychotherapy 

XIV.     POSTOPERATIVE COMPLICATIONS 

                    Wound Infections 
                    Osteomyelitis 
                    Secondary Hemorrhage 
                    Decubitus Ulcers 

XV.     REHABILITATION 

                    Rehabilitation Hospitals
                    Physical Therapy Programs
                    Replacement Centers 

XVI.     NONCOMBAT LESIONS 

                    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 ACROMIOCLAVICULAR JOINT

                    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 HIP JOINT

                    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)