Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The _local conditions_ which decide for or against operation are
differently regarded by different surgeons, but it may be said in
general terms that operative interference is indicated in cases in which
the disease continues to progress in spite of a fair trial of
conservative measures; in cases unsuited for conservative
treatment--that is to say, where there are severe bone lesions.
Operative interference is indicated also when the functional result will
be better than that likely to be obtained by conservative measures, as
is often the case in the knee and elbow. Cold abscesses should, if
possible, be dealt with before operating on the joint.

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