The Medical News Volume 75

The Medical News Volume 75

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1899 edition. Excerpt: ...than occasional swelling and discoloration about the abductor region and the genitals. The possibility of injury to the epiphysis or fracture of the femur during attempted replacement suggests itself, but of this there appears to be little danger. The cartilage of the head is subjected to some pressure and in several of the cases in which the attempt at replacement had been repeated subsequent inspection at the operation showed minute hemorrage spots beneath the cartilage, and in one case slight irregularity, although the surface was not abraided. The plaster bandages are renewed at intervals of from six to eight weeks according to their condition. At the first change of dressing it is often impossible to distinguish between a reposition and a transposition, as the measurements of the legs are equal and as one hesitates to move the limb for fear of displacing it. At the second dressing, however, the head of the transposed bone may be distinguished below the anterior superior spine to the outside of its normal position. Even when reposition is complete success is assured only after prolonged functional use, not even the evidence of a Rontgen picture being proof that the new joint is stable. The plaster spica is continued for from six to eight months and is then replaced by a flannel bandage or by a simple brace, as used after the open operation. The functional result in successful cases is practically perfect. This is explained by the age of the patients on whom the procedure is likely to succeed because the abnormalities in such cases must be slight and because there is no traumatism inflicted as in the open method. My own experience leads me to consider the functional weighting operation of Lorenz as quite inadequate as a final treatment...
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Product details

  • Paperback | 868 pages
  • 189 x 246 x 44mm | 1,520g
  • United States
  • English
  • black & white illustrations
  • 1236919602
  • 9781236919601