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IN THE modern treatment of fractures, it is now fairly well recognized that the maintenance of active function during the period of fracture healing reduces the period of disability and, by thus maintaining a normal blood supply, hastens union. A favorable experience in the application of this principle has led us to examine the possibilities of the method of Leriche. He suggested that nonweight-bearing fractures could be treated by the injection of procaine solution and by early mobilization. His first article1 appeared in I928 and, since then, some 30 or more articles, mostly by Leriche and his students, have appeared in the French literature, with scattered articles in the Argentine, Brazilian and English, and one in the American literature. More than 200 fractures have been reported as successfully treated by this method. We wish to discuss, briefly, the theory underlying this method of fracture therapy and to cite the results we have obtained in 84 cases thus treated. It goes without saying that this form of treatment is contrary to the longestablished principles of rest and immobilization as the best method of promoting healing in injured parts. In fact, the accepted medical thought on this subject is probably exemplified by the following question and answer, which appeared in the Journal of the American Medical Association for August I3, I9382: Question: "Is it considered good practice to inject procaine hydrochloride into a sprained knee as routine treatment? An osteopath nearby is doing this in order that children may continue to play basketball. I advised taping the sprained knee, with rest." M. D., Colorado. Answer: "A sprain of any kind indicates injury to supporting tissues. A sprained knee should be protected against reinjury and supported either by a splint or by adhesive strapping and an elastic bandage until the injured tissues have had time to repair. Injection of procaine hydrochloride into a sprained joint, to relieve the pain so that activity may be made possible, is a dangerous procedure. The pain which is present, after such an injury, is nature's way of warning the individual that damage has been done and that further activity producing the pain is increasing the injury. The local anesthetic simply paralyzes the warning signal and is as much a mistake as it would be to disconnect the burglar or fire alarm simply because the sound of it annoyed the owner of the establishment in which it had been installed."

PROCAINE INJECTION AND EARLY MOBILIZATION IN THE TREATMENT OF NON-WEIGHT-BREAKING FRACTURES