. A treatise on dislocations and fractures of the joints. h cases are very different fromthose which are caused by jumping from a considerable height, from acarriage rapidly in motion, or by a fall in walking or running. (10.) Extensive Suppuration will also be a reason for Amputation. I have known, after an attempt to save the limb, the patient have more extensive suppuration than his constitution could support, fol-lowed by an ulceration of the ligaments, by which the joint becameadditionally exposed, and the bones were again displaced ; hence therearose an absolute necessity to remove the l
. A treatise on dislocations and fractures of the joints. h cases are very different fromthose which are caused by jumping from a considerable height, from acarriage rapidly in motion, or by a fall in walking or running. (10.) Extensive Suppuration will also be a reason for Amputation. I have known, after an attempt to save the limb, the patient have more extensive suppuration than his constitution could support, fol-lowed by an ulceration of the ligaments, by which the joint becameadditionally exposed, and the bones were again displaced ; hence therearose an absolute necessity to remove the limb for the preservation of his life. (11.) A necessity for Amputation may also be produced by Exfo-liations of Portions of Bone,—which, locked in the surrounding partsof the bone, are incapable of becoming separated, and thus keep up astate of continued irritation. My friend Mr. Hammick had the kind-ness to send me a specimen of this kind, which he was obliged toamputate. The loose portion of bone was seated between the lower 270 COMPOUND DISLOCATION. extremity of the tibia and fibula, and reached to the ankle-joint; both the bones had been broken, and had become reunited, and the uniting medium had enclosed and incarcerated the dead black portion of bone. It is probable, from the appearance of the parts, that this portion of bone never would have been able to escape from the place in which it was locked. (12.) Excessive Deformity of the Foot willalso give rise to a necessity for amputation ;and this deformity will take place in three di-rections : first, when the foot is suffered to turnoutwards, whilst the leg is placed upon theheel, in the dislocation inwards; secondly,when it is turned inwards; and thirdly, whenthe foot remains pointed. The first is bestopposed by placing the leg upon its outer side,when that is compatible with the treatment ofthe wound ; in the second case it is best tokeep the foot on the heel ; and in both cases,splints, having a foot-piece both on th
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
