Journal of the Medical Society of New Jersey . relied upon to giverelief with the resulting destruction of thejoint implicated, while if the above treat-ment have been used with the ju- June, 1914 Journal of the Medical Society of New Jersey. 279 dicious use of vaccines or serums, such re-sults would have been avoided. As to theoperation for the relief of these ankylosedjoints which was first performed and de-scribed by Dr. John B. Murphy of Chicago,and which he, as well as others, has demon-strated without doubt to be a practical mdmost fortunate operation for those afflictedwith this unfortu


Journal of the Medical Society of New Jersey . relied upon to giverelief with the resulting destruction of thejoint implicated, while if the above treat-ment have been used with the ju- June, 1914 Journal of the Medical Society of New Jersey. 279 dicious use of vaccines or serums, such re-sults would have been avoided. As to theoperation for the relief of these ankylosedjoints which was first performed and de-scribed by Dr. John B. Murphy of Chicago,and which he, as well as others, has demon-strated without doubt to be a practical mdmost fortunate operation for those afflictedwith this unfortunate condition, we havefound a great deal of criticism in our surgi-cal journals during the last few months,claims being made that the tenderness andpain existing in the joints after the opera-tion, as well as the restricted mobility, andlast but not least the great danger of infec-tion in this most formidable operationwould seem to be sufficient to prove thatthe benefits derived were not sufficient tooverbalance the risk incurred. I believe. Fig-. 11. Ankylosis of knee joint; patienthad complete bony ankylosis of both kneejoints, the patella being ankylosed to the femurin both cases; three years standing; had bonyunion broken in both knees by an Osteopathwhile under ether, about one year before Ioperated. that it is too early to give a definite andpositive opinion as to the usefulness, orgeneral benefits derived, from the arthro-plasty operation. I also believe that thecause for failure is due in a large percent-age of cases to a lack in the proper forma-tion of the flaps used between the denudedbone ends, but especially in this operation,as in all open bone surgery, I believe thatthe principal cause for failure is due to alack in technique and asepsis used at thetime of operation. T also-believe that thereis no surgical operation where there is sogreat liability to infection as in these openbone cases. T make it a practice to not onlywear the ordinary rubber glove, but overth


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