. Medical and surgical reports. opedon the day following, and it is to be assumed that the displace-ment had recurred, although no X-rays were available. InCase 15 displacement recurred after the operative reduction,the gas-bacillus infection making it impossible to maintain themost effective apparatus. In Case 16 a good result was ob-tained only by repeated X-rays in that the displacementrecurred after two separate attempts, and success only fol-lowed immobilization in acute flexion. With the danger thatexists in every epiphyseal injury of subsequent faulty develop-ment of the involved bone,
. Medical and surgical reports. opedon the day following, and it is to be assumed that the displace-ment had recurred, although no X-rays were available. InCase 15 displacement recurred after the operative reduction,the gas-bacillus infection making it impossible to maintain themost effective apparatus. In Case 16 a good result was ob-tained only by repeated X-rays in that the displacementrecurred after two separate attempts, and success only fol-lowed immobilization in acute flexion. With the danger thatexists in every epiphyseal injury of subsequent faulty develop-ment of the involved bone, a prompt and exact replacementof the epiphysis is of the greatest importance, and the repeatedsupervision by means of X-rays during the first fortnight, untilthe union of the epiphysis has begun, is necessary. Effect of Epiphyseal Injury on Subsequent Growth.— Thedanger of some degree of arrest in growth in these cases iswell recognized, and must Ix; always considered in the prog- 204 SEPARATION OF FEMORAL EPIPHYSIS. PLATE Case 14 (1).— , view, showing epiphysisreduced and held by wire nail. SEPARATION OF FEMORAL EPIPHYSIS. 205 PLATE VI.
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Keywords: ., bookcentury1800, bookdecade1860, bookpublisherbosto, bookyear1864
