A Treatise on Orthopaedic Surgery

A Treatise on Orthopaedic Surgery

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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. 1901 edition. Excerpt: ... the swelling of the joint becomes more localized and finally an abscess appears beneath the skin. It is then advisable to remove the fluid and other contents, by means of a simple incision. In most instances a sinus persists for a time. If the discharge is slight, the part may be dressed with ichthyol, balsam of Peru or other application, and the whole inclosed again in the plaster bandage; or, if it be more profuse, an opening may be made and the dressing applied outside the plaster bandage. Operative Treatment.--Early operation, especiallv gouging operations, should be avoided. An effective operation of this character often involves the sacrifice of bone that would be spared in the natural cure, thus it entails an irregularity in the growth, and causes deformity in after life, which may be irremediable. (Fig. 236.) Similar operations in the treatment of fistuhe, or abscess, while the tissues are thickened and oodematous, and while the disease within the joint is active, should be postponed until the process of repair is more advanced. During the stage of convalescence, however, cure may be hastened by the removal of persistent foci of disease, or sequestra in the bone, or tuberculous tracts in the overlying soft parts. In the adult or adolescent, and in exceptional eases in childhood, operative removal of the disease may be indicated, and if it is confined to the ankle joint, the removal of the astragalus, which is usually the primary seat of infection, is the operation of choice. The operation is performed under the Esmarch bandage; a curved lateral incision is made passing beneath the external malleolus from the neighborhood of the tendo-Achillis to the anterior aspect of the joint. The peroneii tendons and the lateral and capsular ligaments...
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Product details

  • Paperback | 242 pages
  • 189 x 246 x 13mm | 440g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236486714
  • 9781236486714