The therapeutical applications of hydrozone and glycozone . i73 must result from ones care of such cases. My excuse for this paper is the dearthof literature upon this important division of modern surgery, and the desire to presenttwo cases in illustration. Case i. A young man, 20 years of age, a kneader in cracker factory, on , 1893, in feeding the dough, had his hand and arm drawn between two rapidlyrevolving rollers up to a point several inches above the elbow joint. His desperateeffort to withdraw his arm, with the crushing force of the machinery and suction ofthe passing dough, seve
The therapeutical applications of hydrozone and glycozone . i73 must result from ones care of such cases. My excuse for this paper is the dearthof literature upon this important division of modern surgery, and the desire to presenttwo cases in illustration. Case i. A young man, 20 years of age, a kneader in cracker factory, on , 1893, in feeding the dough, had his hand and arm drawn between two rapidlyrevolving rollers up to a point several inches above the elbow joint. His desperateeffort to withdraw his arm, with the crushing force of the machinery and suction ofthe passing dough, severed the skin above the elbow, except a small shred upon theinner aspect of the arm. At the time of the accident this isthmus was put upon thestretch, the forearm being partially flexed, and the integument was drawn down overthe forearm and wrist much like an everted gauntlet. The patient was taken to the hospital at once, where the grease and other dress-ings, which had been applied by fellow workmen, were removed and the skin replaced. Figure carefully as possible. The wound was kept clean, and after three weeks the tissuesdestroyed by the force of the injury and loss of blood supply were removed, the gran-ulations scraped down, and the raw surface, which at this time completely girdled thearm at the elbow joint for a space of from three to six inches, was, at one sitting, com-pletely covered with grafts taken from- the inside of the patients thigh. Althoughonly about two-thirds of the grafts took, the adhering portions were so distributedand so loosely applied that the natural contraction of the tissues, together with theirmarginal growth, soon covered the wound with new skin. The contraction whichnaturally took place where grafts did not adhere took the slack out of the looselyplaced grafts, so that the results were highly gratifying. As the grafts were appliedlongitudinally upon the arm, any contraction the result of cicatricial tissue formationwas not so situated as t
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