Transactions of the Philadelphia Academy of Surgery Volume 17

Transactions of the Philadelphia Academy of Surgery Volume 17

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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. 1915 edition. Excerpt: ...This taught him that not all cases of ununited fracture are amenable to treatment by this method, because of the condition of the bone in the individual. DR. GW1LYM G. D.-wis said that if the patient has good enough bone to make a transplant the question of using the transplant as a peg promises to solve the question as to what means shall be used to fix the fragments. He remembered the trouble experienced in using pegs or pins of steel and screws--for instance, one of his cases simply complained of pain although the wound was long healed, tightly and apparently satisfactorily. The patient knew the steel was in there and he could not get the idea out of his head that it should come out. At last he found a doctor who tried to take it out but he could not find it, and simply left a nasty sinus through which later Dr. Davis had to take out the screw--no matter what foreign body is put in, the surgeon is liable to hear from the patient sooner or later. This case just cited occurred before the suggestion was made by Albee of using a bone pin. DR. DUNCAN L. Dasmnp inquired whether Dr. Ashhurst felt that a bone peg is a distinct advance over the silver nail in fracture of the neck of the femur? In the last three years he had attempted this operation in 3 cases, all patients older than his, the youngest being fifty-four years of age. In each of these cases at the time of operation there had been a tremendous amount of absorption of the head of the bone, and he practically had no hope of bony union and only tried for an ankylosis. He did not think any results in his cases had been very much of an improvement. They walk with decided limps. It is a question whether the bone peg offers very much more than the silver nail. It does not stand as much...show more

Product details

  • Paperback | 112 pages
  • 189 x 246 x 6mm | 213g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236739396
  • 9781236739391