Excision of the knee joint with report of twenty-eight cases . emity, so as to fit it for bearing the weight of thebody on some artificial support,—of this, however, there is no cer-tainty. The stump may waste, the muscles become flabby, thecicatrix tender, easily abraded, or it may ulcerate, eczema may bean accompaniment of advancing years, local periosteal troublemay ensue, and sinuses leading down to dead or diseased boneform, so that after a time the sufferer, wearied with his condition,is forced to relinquish the use of his artificial leg and seek forsome other means of getting about. Thi
Excision of the knee joint with report of twenty-eight cases . emity, so as to fit it for bearing the weight of thebody on some artificial support,—of this, however, there is no cer-tainty. The stump may waste, the muscles become flabby, thecicatrix tender, easily abraded, or it may ulcerate, eczema may bean accompaniment of advancing years, local periosteal troublemay ensue, and sinuses leading down to dead or diseased boneform, so that after a time the sufferer, wearied with his condition,is forced to relinquish the use of his artificial leg and seek forsome other means of getting about. This statement is not exaggerated, these conditions occur oc-casionally, though it may be rarely, nor can these unfortunateresults be advanced as a reason against amputation in ca>:es whereno other operation would be justifiable. Again, look at ilic twoconditions, in the one, the stump can never develop, can never be-come larger or more muscular, indeed the muscles tend to waste;they become in time flabby and lose all trace of their original struc- Case EXCISION OF THE KNEE JOINT. Operation performed 17th , taken iiOtli October, 18«.>, tlve monUis after tlie operation. Fig. 1. EXCISION OF THE KNEE JOINT. 7 ture. In the other, the limb grows, is as well nourished as itsneighbor, the muscles become as large, as well formed and asuseful as they ever were, their action may be limited yet theydo not tend to atrophy. On this point I may draw attention to the following engrav-ings taken from photographs of the first case operated on bythe writer in May, 1865, the one taken five months after theoperation, the other five years after recovery. The boy had become a man and had grown in stature severalinches. It will be observed that the limbs have grown in equallength and also in muscular proportion. I may state that in1870 this man, on his return to Montreal to visit his friends,walked from the City of New York to Albany for the sole pur-pose of enjoying t
Size: 1194px × 2094px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookidexcisionofkn, bookyear1883
