Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


After all symptoms have settled down, but not till then, for fear of
exciting relapse or metastasis, the joint is massaged and exercised.
Stiffness from adhesions is most intractable, and may, in spite of every
attention, terminate in ankylosis even in cases where there has been no
suppuration. Forcible breaking down of adhesions under anaesthesia is
not recommended, as it is followed by great suffering and the adhesions
re-form. Operation for ankylosis--arthroplasty--should not be
undertaken, as the ankylosis recurs.

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