American Addresses

American Addresses

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1917 edition. Excerpt: ...the knee-joint forthwith is probably the best course. In such a case, even if complete healing takes place, the functional utility of the limb is greatly hindered by those deformities which inevitably follow. As much of the femur must be spared, in making the resection, as can with safety be left; the upper end of the tibia, if intact, must have only the merest shaving of the articular cartilage excised, enough, that is, to allow a bony ankylosis to take place. The amount of the two bones that can be removed without serious disablement is remarkable. I have had one patient whose leg was a trifle over four inches shorter than the other who walked with vigour and not inelegantly. A part both of the femur and of the tibia had been destroyed by a shell fire. In cases included in this group where infection has obtained a hold the method of excision introduced by Colonel Fullerton may be practised. Instead of bringing the opposing ends of the femur and the tibia together, means are taken by extension to keep them apart. A wide gap then is left which may be filled lightly with gauze and the Carrel-Dakin method of treatment adopted. When the wound has reached the stage of "clinical sterilisation," the bones may be fitted together and the limb fixed in a splint. In still more than severe types of injury amputation of the thigh is performed without delay. This counsel is especially urgent when the great vessels also are injured, when laceration of the soft parts is extensive, and when infection, especially with the bacillus of gas gangrene, is evident. CONCLUSIONS 1. In all cases of wounds of the knee-joint the limb should be fixed immovably upon a splint at the earliest possible moment, and until circumstances and surroundings permit of a...
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Product details

  • Paperback | 34 pages
  • 189 x 246 x 2mm | 82g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236648951
  • 9781236648952