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NATURAL HISTORY AND TREATMENT OF PULP SPACE INFECTION AND OSTEOMYELITIS OF THE TERMINAL PHALANX

Harold Bolton 1; P. J. Fowler 1; ; and R. P. Jepson 1

1 The Manchester Royal Infirmary, Manchester, England

The pathology of pulp space infection is discussed. It is recommended that a direct incision which is localised precisely to the abscess site, even if the incision is in the tactile pad, is better than a lateral incision, which fails to maintain drainage, causes longer incapacity, and may injure the digital nerve and give rise to causalgia. Fifty cases of pulp space infection in which a direct incision was used are reviewed.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General