Transactions of the American Orthopedic Association Volume 2

Transactions of the American Orthopedic Association 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. 1889 edition. Excerpt: ... ignorance on the part of the patient, but the worst and most frequent failures are found in the cases where the surgeon, by his words and acts, gives rise to the assumption that he has cured the disease by operation alone. I acknowledge that my predilection and surgical training render me partial to the speedy results of the knife; yet I value in the highest degree mechanical measures both before and after operation. A wise decision as to the class of hip cases requiring operative means is an exceedingly important one. I must confess that I am often puzzled in regard to fixing an absolute line beyond which it becomes imperative to interfere. I should be exceedingly glad if this American Orthopedic Association could agree upon absolute rules in regard to cases that should, or should not, receive operation; but from my knowledge of the practice and teaching of the several members composing this important body, I am sure that there would be great diversity of ideas and of practice. Of course, there is a class of cases concerning which there is practically no question as to the justifiability of interference, although some surgeons contend that excision is useless in this late stage, and that drainage alone is then helpful. This class includes cases in the third stage, with multiple sinuses pouring out unhealthy pus, which drain is rapidly exhausting the patient and threatening dissolution. Other cases demanding interference are those showing undoubted evidences of extensive disintegration of tissue with great flexion and adduction; as, also, those extremely painful cases of caries sicca, where, without suppuration, the patient sinks and all forms of mechanical treatment fail to give relief. Albuminuric cases also, and those showing...
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Product details

  • Paperback | 112 pages
  • 189 x 246 x 6mm | 213g
  • United States
  • English
  • black & white illustrations
  • 1236980689
  • 9781236980687