SUBPERIOSTEAL RESECTION IN OSTEOMYELITIS

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Abstract
It has been known since the time of Galen that the removal of a part or all of the shaft of a bone, which has undergone necrosis in osteomyelitis, may be followed by restoration of the missing portion. Scultetus recorded a classic example in 1634, and a little later Delamatte and Vigarous reported regeneration of missing portions of the tibia. No attempt was made to explain the method of regeneration until after the well-known experiments of Duhamel in 1741, showing the important part played by the periosteum in the formation of callus during the healing of fractures. Subsequently it was attributed to the periosteum which, as was noted, was always detached from the shaft and left behind. Isolated reports of cases continued to confirm this view, but no experimental evidence was offered in its support until the important work of Heine, who from 1830 to 1837 performed, in animals, a

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