. Virginia medical semi-monthly . aces to prevent bonyankylosis again recurring. Passive motionwas begun at the end of a week under chloro-form anesthesia, which process was done twicea week for three weeks. At this time the pa-tient left the hospital for the countrv but wasinstructed to have vigorous passive motion con-tinned without the chloroform. This patientcontinued to improve very satisfactorily forabout a year. The final result was very good,but not a perfect joint, by any means; she hasabout two thirds of the normal range of motion. 448 This case, as well as No. 6, illustrates whatcou
. Virginia medical semi-monthly . aces to prevent bonyankylosis again recurring. Passive motionwas begun at the end of a week under chloro-form anesthesia, which process was done twicea week for three weeks. At this time the pa-tient left the hospital for the countrv but wasinstructed to have vigorous passive motion con-tinned without the chloroform. This patientcontinued to improve very satisfactorily forabout a year. The final result was very good,but not a perfect joint, by any means; she hasabout two thirds of the normal range of motion. 448 This case, as well as No. 6, illustrates whatcould have been saved by an early operation,and would have gotten well with a much betterresult in a few months. As it was, she wasover two years in regaining good use of herarm. Case VIII.—Aged G years. This case cameunder my care three weeks after the fracture was supposed to have been re-duced immediately after the accident. Thiswas a mistake, as is well shown by the X-raytaken at the time I saw him. (See Photo 3.). Photo No. III., Case viii. The X-ray shows tihs to be an oblique frac-ture through the condyles into the joint. Under chloroform anesthesia I succeeded inreducing this fracture without opening thejoint, although it was done three weeks afterthe accident, X-ray being used to establish thisfact. The arm was put up in a plaster ofParis splint acutely flexed. Final result wasperfect functionally. Case IX.—Aged 7 years. This case cameunder my care the day of the accident. Uponexamination I found that there was a supra-condyloid fracture with the condyles turnedbackwards to a right angle to the shaft of thehniiH riTS. As it was not convenient to havean X-ray made T operated at once, and replacedthe condyles and secured them in place by pass-ing a drill through at a right angle to the lineof fracture. The drill was left in for twoweeks, as is my usual custom. The limit wasDUt up in plaster of Paris acutely flexed ; the [January 7, plaster was removed at th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
