A treatise on orthopedic surgery . iorapposed surfaces of the femurand tibia. The vessels havingbeen ligated, the wound maybe closed with or withoutdrainage, as may be indicatedby the character of the disease,a plaster-of-Paris dressing isapplied, and the limb is raisedto a perpendicular position sothat the weight of the leg maybe utilized to assure support is of serv-ice in the after-treatment inlessening the discomfort and hastening the cure. Results of Excisioin.—In Koenigs statistics of 300 ex-cisions, 6 deaths were due directly to the operation, and 23others occurred durin
A treatise on orthopedic surgery . iorapposed surfaces of the femurand tibia. The vessels havingbeen ligated, the wound maybe closed with or withoutdrainage, as may be indicatedby the character of the disease,a plaster-of-Paris dressing isapplied, and the limb is raisedto a perpendicular position sothat the weight of the leg maybe utilized to assure support is of serv-ice in the after-treatment inlessening the discomfort and hastening the cure. Results of Excisioin.—In Koenigs statistics of 300 ex-cisions, 6 deaths were due directly to the operation, and 23others occurred during the course of the after-treatment—a totalof 29 ( per cent.). In 23 instances amputation was afterward performed becauseof failure of the operation. The good results are classed byKoenig as 75 per cent., the bad as 25 per cent. In 193 casesthe jDosition of the limb in after years was investigated. It wasstraight in 175, distorted in 18, all but 1 of this latter groupbeing in children. Of 400 resections of the knee in Bruns. Deformity and shortening resulting fromexcision of the Imee in childhood. 442 OBTHOPEDIC SUEGEBY. clinic final results were ascertained in 379 cases. The earlyresults were as follows: Discharged, well 343 Discharged with fistulas 29 Amputated I7 Dead 17 Not cured 4 Final results: Well 280 ^ With fistulas 3 Dead, but cured of local dis- >- Good results per cent. ease 45 Dead, not cured 3 J Living, not cured 101 Dead, not cured ^ L t-> i nx -.« Died in clinic 7 p^<^^ ^^^^^^^ ^^ per cent. Amputated 23 J Curvature of the limb: Straight per cent. Moderately flexed per cent. Markedly flexed per cent. —This operation is indicated as a life-savingmeasure. When the disease is so extensive as to require com-plete removal of the epiphyses in early childhood, amputation isthe preferable operation, as the limb, aside from requiring con-stant protection to prevent deformity, will be so short as to be oflittle practical u
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
