Transactions of the College of Physicians of Philadelphia . condary Hemorrhage ; Recovery icith Useful Limb.—James M , six years of age, entered the Episcopal Hospital on May 7, 1875, suffering from gelatinous arthritis of the leftknee, following an injury which had been received one yearbefore. The joint was much swollen, and the limb was use-less, but there was not much pain, and, as customary in thisvariety of arthritis, not much impairment of motion. 64 ASHHURST, Excision was performed in the ordinary way on May 13,six or seven ligatures being required, and the limb beingsubsequently dress
Transactions of the College of Physicians of Philadelphia . condary Hemorrhage ; Recovery icith Useful Limb.—James M , six years of age, entered the Episcopal Hospital on May 7, 1875, suffering from gelatinous arthritis of the leftknee, following an injury which had been received one yearbefore. The joint was much swollen, and the limb was use-less, but there was not much pain, and, as customary in thisvariety of arthritis, not much impairment of motion. 64 ASHHURST, Excision was performed in the ordinary way on May 13,six or seven ligatures being required, and the limb beingsubsequently dressed as in my other cases. On the eighthday, all the ligatures and sutures were away, the wound wasmostly united, the limb was in excellent position, and every-thing promised an uninterrupted recovery. On the thirteenthday (May 26), without any obvious cause, profuse secondaryhemorrhage occurred, the wound being stufted with clot,andthe dressings saturated with blood. Knowing that no largevessel had been divided in the operation, and unwilling to Fig. interfere unnecessarily with the progress of repair, I did notopen the wound, but contented myself with applying an ice-bag and elevating the limb. The bleeding did not recur, theclots which had formed gradually became disintegrated, andwere spontaneously discharged, and the wound healed bygranulation. In July the patient could walk with the sup- EXCISION OF KNEE. 65 port of a simple pasteboard splint, and in August even thiswas dispensed with, bony union of the resected bones beingby this time completed. The patient was retained in hospi-tal until October, 1875, a photograph, from which the annexedillustration (Fig. 12) is taken, having been obtained beforehis discharge. lie has been seen recently in the neighbor-hood of the hospital, taking an active part in a stone tightwith other boys. In the next ease, as in Case VII., I at first postponedradical treatment, on account of the tender age of thepatient, preferring- to divid
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Keywords: ., bookcentury180, bookdecade1870, booksubjectmedicine, bookyear1876
