To the Editor:— Because of many inquiries and some misunderstanding I should like to explain certain points with regard to the Orr method for wounds and compound fractures. A Wide World dispatch this morning from Kuibyshev stated that a modernized method of the Russian surgeon Pirogov is the one now being employed among the Russian troops for the treatment of gunshot wounds and fractures. It is said that airtight plaster of paris casts are a factor in the treatment. Similar statements about tight casts and foul smelling dressings have delayed the general acceptance of the program that I have been advocating. The surgical treatment program that I have been recommending for twenty years is immediate replacement of injured parts in correct position, open drainage of infected wounds, immobilization of the extremities in plaster of paris casts and infrequent dressing to protect against secondary infection. These are all essential for good