Wounds in war : the mechanism of their production and their treatment . anWar, when it was extensively used,Otis was unable to record a singlecase of satisfactory result as regardsthe utility of the limb. Beck, writing of gunshots ofthe forearm in the war of 1870-71,says : Regarding resection in thecontinuity, I cannot approve ofthe operation. Aside from the factthat by such interference osteo-myelitis and pyaemia may readilybe caused, serious disorders, suchas injuries of blood-vessels andsubsequent haemorrhages, may beinduced. The two resections per-formed by us in the radius andulna were mo
Wounds in war : the mechanism of their production and their treatment . anWar, when it was extensively used,Otis was unable to record a singlecase of satisfactory result as regardsthe utility of the limb. Beck, writing of gunshots ofthe forearm in the war of 1870-71,says : Regarding resection in thecontinuity, I cannot approve ofthe operation. Aside from the factthat by such interference osteo-myelitis and pyaemia may readilybe caused, serious disorders, suchas injuries of blood-vessels andsubsequent haemorrhages, may beinduced. The two resections per-formed by us in the radius andulna were more properly extrac-tion and pinching off of splinters,and partial sawing off of pro-minent sharp points of bone, aproceeding which under some circumstances may be ap-proved, as thereby, without injury to the wound, seriouscomplications may be averted. As a Secondary Operation, excision may be useful incases where one bone only has been fractured and unionhas failed to take place. Here, refreshing the ends of thebroken bone, and excision of as much of the sound one as. Fig. 57. Union of radius and ulna incase of gunshot of radius.—Netley Museum. GUNSHOTS OF THE FEMUR 233 will allow of the approximation of the ends of the former,combined with suture of both bones with wire, may havethe desired effect. Amputation for gunshots of the forearm should beperformed when both bones are fractured, and the radial,ulnar, and interosseous arteries are also wounded. Theseindications for amputation were laid down by Guthrie, andcan hardly be improved upon. Delorme further considersthat wound of both principal nerve trunks requires similartreatment. The mortality in the American War was cent, for all cases : per cent, for the primary, cent, for the intermediary, and per cent, for thesecondary operations. Gunshot Wounds of the Diaphysis of the Femur. During the American War about per cent., andduring the Franco-German War about per cent, of allgunshot wounds we
Size: 999px × 2501px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectsurgicalproceduresoperative
