. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. but in such a condition it is oftenof doubtful value. It may be infiltratedwith inflammatory or tuberculous material,may hinder the healing of the wound, andmay even maintain suppuration. But if itlack these potentialities for evil, it may pos-sess no bone-producing property. In the next place, the subperiosteal oper-ation involves a considerable period of timein the performance, and the shock followingthe- procedure may
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. but in such a condition it is oftenof doubtful value. It may be infiltratedwith inflammatory or tuberculous material,may hinder the healing of the wound, andmay even maintain suppuration. But if itlack these potentialities for evil, it may pos-sess no bone-producing property. In the next place, the subperiosteal oper-ation involves a considerable period of timein the performance, and the shock followingthe- procedure may be considerable. In this respect it compares un-favorably with an excision by the open method, where the actual stepsof the operation are simple and the process quick. The open method, practised as it was in the earlier days of surgery,when ligaments and tendons were divided without scruple, may besafely regarded as a matter of the past; but such a modification of thismethod as the subperiosteal procedure suggests is of great value. Summary. —So far as excision of joints are concerned, the conditionsthat may be considered under this heading are very numerous and can. Fig. T47—Bone Denuded ofPeriosteum, Result ofChronic Inflammation. EXCISIONS OR RESECTIONS OF JOINTS. 429 only be dealt with in outline. They concern not only those generalcircumstances that influence the healing of wound and the recoveryof patients after operation, but embrace certain local features that aremore or less obvious. The success of the operation will depend upon the age of the patient,upon his condition, upon his powers of exhibiting repair from exten-sive wounds, and upon the general circumstances that affect primaryhealing. His nervous condition is a matter of importance, as is alsohis capacity for submitting to tedious and often painful question of perfect asepsis needs but to be mentioned. So far asthe operation is concerned, much will depend upon the state of the tis-sues,
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