_Treatment._--This is carried out on the same lines as in other pyogenic
infections.
In the earliest stages of the disease, the induction of hyperaemia is
indicated, and should be employed until the diagnosis is definitely
established, and in the meantime preparations for operation should be
made. An incision is made down to and through the periosteum, and
whether pus is found or not, the bone should be opened in the vicinity
of the ossifying junction by means of a drill, gouge, or trephine. If
pus is found, the opening in the bone is extended along the shaft as far
as the periosteum has been separated, and the infected marrow is removed
with the spoon. The cavity is then lightly packed with rubber dam, or,
as recommended by Bier, the skin edges are brought together by sutures
which are loosely tied to afford sufficient space between them for the
exit of discharge, and the hyperaemic treatment is continued.
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