Lectures on orthopedic surgery . as we know, wasfirst performed by Ogston of Aberdeen, Scotland, onMay 17, 1876; he sawed off the inner condyle ofthe femur. All opera-tions on the inner con-dyle are modifications ofthis. On February 2,1878, Macewen, of Glas-gow, Scotland, first didthe operation known byhis name, using the and making asection of the femurabove the condyles. Ogstons operation consists in the following procedure:The patient is fully anesthetized; the limb renderedbloodless; the leg is fully flexed on the thigh, and thethigh rotated somewhat outward; a long tenotomy kni
Lectures on orthopedic surgery . as we know, wasfirst performed by Ogston of Aberdeen, Scotland, onMay 17, 1876; he sawed off the inner condyle ofthe femur. All opera-tions on the inner con-dyle are modifications ofthis. On February 2,1878, Macewen, of Glas-gow, Scotland, first didthe operation known byhis name, using the and making asection of the femurabove the condyles. Ogstons operation consists in the following procedure:The patient is fully anesthetized; the limb renderedbloodless; the leg is fully flexed on the thigh, and thethigh rotated somewhat outward; a long tenotomy knifeis introduced flatly, two or three inches above the tip ofthe inner condyle and pushed downwards, forwards andoutwards until the point is felt in the inter-condyloidspace; the cutting edge of the knife is then turneddirectly towards the bone, and as it is slowly withdrawnall the soft tissues are divided down to the bone, andthe external wound made sufficiently large to admit theblade of an Adams saw. This saw has a long narrow. Fig. 226.—Ridlons sacral table for sup-porting the hips when applying aplaster spica bandage. 276 shank, a cuttiDg edge about an inch and a half inlength, and a blunt point. The saw is introduced alongthe canal made by the knife; its cutting edge directedtowards the bone and the condyle sawed through aboutthree-quarters of its thickness. The saw is then re-removed ; the leg extended upon the thigh; and witha sudden forcible effort in the direction of straighteningthe knockknee the undivided portion of the condyle isfractured; the fragment slides up and the deformity iscorrected. The operation throughout must be strictly wound is closed without drainage; the dressingsare applied; and the fractured bone is put up in aplaster-of-paris spica, or a wooden side-and-back splint. The objections to the operation are, that the joint isopened; sawdust remains in the wound, and perhapsalso in the joint; and an irregular joint surface or faultremains
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
