Excision of the knee joint with report of twenty-eight cases . ity of the cases herereported, the limbs have beenstraight, neither bowing to theouter or inner side, the ankylosis hasbeen firm, there has been no ten-dency in the thigh bone to pushforwards, nor does it change its axisand rotate outwards. At the International Congressheld in London, England, in 1881Mr. Oilier, of Lyons, in referringto the general subject of excisionof joints, is reported to have saidthat the imperfection of some ofthe results in the human subjectwas an indirect but conclusivedemonstration of the necessity ofatten
Excision of the knee joint with report of twenty-eight cases . ity of the cases herereported, the limbs have beenstraight, neither bowing to theouter or inner side, the ankylosis hasbeen firm, there has been no ten-dency in the thigh bone to pushforwards, nor does it change its axisand rotate outwards. At the International Congressheld in London, England, in 1881Mr. Oilier, of Lyons, in referringto the general subject of excisionof joints, is reported to have saidthat the imperfection of some ofthe results in the human subjectwas an indirect but conclusivedemonstration of the necessity ofattending to the known laws ofrepair of bones and joints. Healso remarks, that the earlier anexcision is performed the betterthe result, and that the antiseptictreatment made early excision moreadvisable than formerly. These ob-servations were of a general char-acter, and did not refer speciallyto the knee joint, but the point of greatest importance to thesurgeon, having reference to the knee, is the absolute necessityof adhering to known laws of repair in Fig. 2. Is a longitudinal sectionof the bones, and shows the lineof union between the epiphyses. * Brit. Med. Journal, Vol. II, 1881, page 548. 12 EXCISION OF THE KNEE JOINT. We cannot agree with the view that diseased joints demandearly excision, were such advice followed many cases of diseasedjoints that admit of cure by rest and other means, would be sacri-ficed, because although it is allowed that excision is far prefer-able to amputation, yet the arrest of disease in the incipientstage, with the retention of a useful and movable joint, is pre-ferable to either of these operations. Mr, Oilier, in speaking of theresection of joints in children, observes, that every excisionduring childhood interferes with the subsequent growth of thelimb, this is a very sweeping assertion, and one not borne outby experience. Time has not, however, in my own observation,been sufficient to enable me to contradict this statement, althoughi
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