Conservative treatment is only abandoned if improvement does not show
itself after a thorough trial, or if the disease relapses after apparent
cure.
_Operative Treatment._--Other things being equal, operation is more
often indicated in adults than in children, because after the age of
twenty there is less prospect of recovery under conservative treatment,
there is more tendency for the disease to relapse and to invade the
internal organs, and there is no fear of interfering with the growth of
the bones. The state of the general health may necessitate operation as
the most rapid method of removing the disease. The social status of the
patient must also be taken into account; the bread-winner, under
existing social conditions, may be unable to give up his work for a
sufficient time to give conservative measures a fair trial.
|