The Art and Science of Surgery: Innovation and Concepts of Medical Practice in Operative Fracture Care, 1960s–1970s

Author:

Schlich Thomas1

Affiliation:

1. McGill University

Abstract

In this article, I am using the example of the introduction of osteosynthesis into surgical routine practice to analyze the use of the notions of art and science in medical innovation. The examination of the renegotiations of power and responsibility associated with the introduction of this new technique shows that proponents and critics actively linked their arguments to more fundamental epistemological and social issues. The proponents claimed to manage the uncertainties of innovation through making surgery more scientific, drawing on the ideals of control, rationality, objectivity, and predictability. The critics mobilized another discursive pattern. They considered surgery an art and emphasized the individuality, contingency, and situatedness of medical practice. I investigate the discursive function of these argumentative patterns and how they played out in the concrete example of this surgical technique.

Publisher

SAGE Publications

Subject

Human-Computer Interaction,Economics and Econometrics,Sociology and Political Science,Philosophy,Social Sciences (miscellaneous),Anthropology

Reference67 articles.

1. Cinderella of Surgery—Fractures?

2. Compression-plate fixation in acute diaphyseal fractures of the radius and ulna

3. The Reasoning of the Strongest: The Polemics of Skill and Science in Medical Diagnosis

4. Badger, F. G. 1959. Principles of the treatment of fractures. In Modern trends in accident surgery and medicine, edited by R. Clarke, F. G. Badger, and S. Sevitt, 123–139. London: Butterworth.

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