Therapeutic Monthly Volume 2

Therapeutic Monthly Volume 2

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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. 1902 edition. Excerpt: ...A second case of the same kind, similarly treated, some months later had an equally successful result. Dollinger urges that the second stage of the operation--the removal of the tumor--should be done not less than one day later than the artificial pneumothorax. The patient takes the anesthetic better than when the pneumothorax takes place suddenly during the operation. Anatomical Treatment of Fractures of the Femoral Neck.--The method here detailed is that advocated and practised by Prof. T. J. Maxwell, 30 years ago, and according to C. E. Ruth (Jour. Amer. Med. Ass'n, December 21, 1901) "is the only method that entirely neutralizes the displacing tendencies of muscular action and weight." Ruth, first of all mentions the effects of muscular action in the displacement of these fractures. Shortening is produced by the long muscles (hamstrings, vertical portion of adductor magnus, sartorius, rectus and gracilis). The adductors, pectineus and glutei pull inwards and upwards; the obturators, gemelli, pyriformis, quadratus and lower part of gluteus maximus pull inwards and rotate outwards; pulling inwards and upwards and rotating inwards are tensor fascia? and anterior portions of gluteus medius and minimus. The psoas and iliacus, formerly internal rotators, are in these fractures external rotators, and may prevent approximation of the fragments. Eversion is produced by external rotators, plus weight of limb. Posterior displacement and external rotation are limited by the Y-ligaments only. Treatment.--Adjust by flexing the thigh on the addomen to right angles; this relaxes psoas and iliacus, and brings these muscles clear of fracture-line. Make vertical traction on the shaft of the femur, then lay in normal line and apply more

Product details

  • Paperback | 342 pages
  • 189 x 246 x 18mm | 612g
  • United States
  • English
  • black & white illustrations
  • 1236806875
  • 9781236806871