. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . rule, that all severe wounds of the large articulations of theextremities, especially when the result of gunshot or other inju-ries, are almost always fatal if amputation be not speedilyemployed, does not necessarily hold good. In a large number ofinjuries of the knee and ankle joints which fell under my obser-vation during the rebellion, and which were


. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . rule, that all severe wounds of the large articulations of theextremities, especially when the result of gunshot or other inju-ries, are almost always fatal if amputation be not speedilyemployed, does not necessarily hold good. In a large number ofinjuries of the knee and ankle joints which fell under my obser-vation during the rebellion, and which were treated as directedabove, quite a number recovered, a few with anchylosis, andmany others with partial motion of the joint. Of the number ofcases which recovered with partial loss of motion of the limbonly, I will mention four which involved the principal articula-tions. The treatment employed and the termination of each arealso detailed. COMPOUND FRACTURE OF ELBOW JOINT. CaseI. Marcus Washburn, private, Co. A, 48 Ind. Vols., wasadmitted into the Mound City Hospital with a compound com-munited fracture of the left elbow joint, caused by a minnie ballwhich entered the outer aspect of the articulation, passed through WOUNDS OF JOINTS. 43. the joint and emerged at the Fig. 227. inner and lower portion of thearm, as is shown in accom-panying Fig. 227. The jointwas extensively tumefied andvery painful, synovia continu-ally escaping from the joint,mixed with pus. The limb wasbandaged and splints appliedas directed heretofore, and thearm kept in an elevated posi-tion. The treatment consist-ed in the use of Calendula internally and externally, and weak injections of iodine thrown intothe joint from time to time, as occasion demanded; with the use ofAconite, whenever fever was present; Hepar sulph. andSilicea were administered during the suppurative process. Ahealthy, generous diet was ordered during the continuance ofthe inflammatory action, and in thirteen weeks after infliction ofthe


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Keywords: ., bookcentury1800, bookdecade1860, bookidscienceartof, bookyear1867