A system of surgery : pathological, diagnostic, therapeutic, and operative . of sorbefacients andpassive motion. The attendant inflammationhaving been divested of its violence, the plastic deposits must be disposed ofbefore they have an opportunity of becoming firmly organized, and the only wayin which this can be effected is by frictions with stimulating lotions, aided bythe cold or hot douche, and by rubbing the articular surfaces gently against eachother, at first once every forty-eight hours, and then once or twice a day, untilall the matter has been absorbed, and the synovial membrane has
A system of surgery : pathological, diagnostic, therapeutic, and operative . of sorbefacients andpassive motion. The attendant inflammationhaving been divested of its violence, the plastic deposits must be disposed ofbefore they have an opportunity of becoming firmly organized, and the only wayin which this can be effected is by frictions with stimulating lotions, aided bythe cold or hot douche, and by rubbing the articular surfaces gently against eachother, at first once every forty-eight hours, and then once or twice a day, untilall the matter has been absorbed, and the synovial membrane has regained itsprimitive characters. Much more skill and attention are required in these casesthan the surgeon is usually willing to bestow, and it unfortunately too frequentlyhappens that their entire management is confided to persons who are whollyignorant of the manner in which it should be conducted. The consequence isthat a great deal of harm is commonly done, which it is impossible subsequentlyto rectify by any mode of treatment, however carefully carried out. For the. Osseous auciiylosis of the knee-joint. CHAP. IX. ANCHYLOSIS. 1043 most part, indeed, the time for successful interposition has gone by when the casefalls into judicious hands. When, through neglect, mismanagement, or unavoidable circumstances, themovements of the joint have become greatly impaired, or when the case hasalready attained a certain degree of chronicity, instead of abandoning the patientto his fate, an attempt should be made to break up the adhesions by forciblemeans, not forgetting, however, that they must, nevertheless, be conducted witha certain degree of gentleness in oider to prevent mischief. The patient beingthoroughly anaesthetized, the distal portion of the limb is moved with one hand,while the proximal, or that nearest to the trunk, is firmly steadied with the other,at the same time that it rests upon a smooth, solid surface, so as to aiford a betterfulcrum for the other part to move upo
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
