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DISABILITY AND COST OF INDUSTRIAL FRACTURES A Comparison Based Upon an Impersonal Study of Statistics of Fractures Treated by the Specially Trained Surgeon and the General Practitioner
ROSCOE N. GRAY
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Medical Referee, Aetna Life Insurance Company
The Journal of Bone & Joint Surgery.  1928; 10:27-39 
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Abstract

In conclusion our tabulation shows that the surgeon who has been specially trained in the treatment of fractures produces far better results in serious fractures, but that the general surgeon does more efficient work with minor fractures. In major fractures, the added cost produced by the specially trained surgeon is more than compensated by decreased disability. This is not true in minor fractures.

Let me, therefore, plead that your care and caution, born of your training and specialization, should always be tempered with good, practical judgment, to prevent any unnecessary treatment or loss of your patient's time.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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