. A treatise on dislocations and fractures of the joints. misfortune to bethrown down, and the wheel passed over the right thigh, just abovethe knee. A very profuse haemorrhage immediately took place. Mr. Shaw, surgeon, of Wirksworth, saw the patient in less than anhour after the accident, and on examination found there was a com-pound dislocation of the knee-joint. There was an opening in theinteguments about the natural situation of the internal condyle, whichcommunicated with the cavity of the joint: the os femoris was thrownbehind the head of the tibia, and lay imbedded among the gastrocne
. A treatise on dislocations and fractures of the joints. misfortune to bethrown down, and the wheel passed over the right thigh, just abovethe knee. A very profuse haemorrhage immediately took place. Mr. Shaw, surgeon, of Wirksworth, saw the patient in less than anhour after the accident, and on examination found there was a com-pound dislocation of the knee-joint. There was an opening in theinteguments about the natural situation of the internal condyle, whichcommunicated with the cavity of the joint: the os femoris was thrownbehind the head of the tibia, and lay imbedded among the gastrocnemiimuscles. The limb had a most deformed and frightful appearance ;but Mr. Shaw accomplished the reduction of the dislocation withgreater ease than he had expected. The opening in the integumentswas closed by adhesive plaster, the limb was laid on pillows, andscarcely any inflammation supervened. Two or three days after theaccident the patient complained of some degree of numbness andcoldness of the leg and foot, particularly the latter: this sensation. OF THE KNEE JOINT. I97 continued to increase, but in other respects he was so well, that onthe ninth day from the accident he got out of bed and sat up a shorttime, being able to bend and extend the knee without occasioningpain. On the eleventh day it was first discovered that there weresome vesications on the foot, and on the 19th October, eighteen daysfrom the time of the accident, Mr. Shaw requested me to visit thepatient with him. At this time the whole of the foot was in a gan-grenous state. On the outside of the limb the mortification extendedabout three inches above the malleolus, but it did not rise above theankle on the inner side. The whole leg above the sphacelated partswas very tender to the touch, was slightly swelled and hot, and had ablush of redness all over it. There was some degree of hardness andthickening of the parts between the hamstrings, and no pulsation wasdiscoverable in the popliteal artery. In other r
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
