. Operative surgery. ong obstacle to backward displacement of the fifteen cases of excision the wire was employed bythe author, and in five nothing but the splint wasused for this purpose; the results, so far as unionwas concerned, were equally satisfactory. The wirecaused trouble in only three instances; in one, a necro-sis along its course, in the remaining two a local irrita-tion due to pressure, which was promptly relieved by removal of the wires. After-treatment.—The wire cradle splint and the fenestrated plaster-of-Paris splint confining the entire extremity, and properly swung
. Operative surgery. ong obstacle to backward displacement of the fifteen cases of excision the wire was employed bythe author, and in five nothing but the splint wasused for this purpose; the results, so far as unionwas concerned, were equally satisfactory. The wirecaused trouble in only three instances; in one, a necro-sis along its course, in the remaining two a local irrita-tion due to pressure, which was promptly relieved by removal of the wires. After-treatment.—The wire cradle splint and the fenestrated plaster-of-Paris splint confining the entire extremity, and properly swung with elasticbandages, were employed consecutively or singly in each of the authorscases (Fig. 445). After the soft parts are united the application of a plaster-of-Paris spica, as in fracture of the thigh, and out-of-door exercise oncrutches are very important measures of treatment. That strict antisepsisand good drainage are essential needs no remark. Pig. 444.—The arrange-ment of nails inresection of Fig. 445.—Suspended bracketed plaster-of-Paris splint. The Results.—Of 1,063 cases of excision of the knee joint for allcauses, performed during the preaseptie period, the mortality was 23 per cent:of 580 cases done for disease, and under antiseptic precautions, percent died. In the authors 24 adult cases for disease, 2 died ( percent), one expectedly, the remainder recovered with serviceable limbs. 424: OPERATIVE SURGERY. The age of the patient is a consideration not to be underestimated;the results are best from five to ten years of age, whether the operationis for injury or disease. When done for disease, fourteen per cent of the results were perfect,forty-two were useful, and the remaining useless; of which latter eighteenper cent required amputation. For injuries, about eighteen per cent were perfect, about sixty-five percent useful, and in about twelve per cent amputation was performed. When for gunshot injuries, about sixty per cent were useful
Size: 2326px × 1075px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
