Osteotomy and osteoclasis for deformities of the lower extremities / By Charles T. Poore.

  • Poore, Charles T.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Osteotomy and osteoclasis for deformities of the lower extremities / By Charles T. Poore. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    54/228 (page 38)
    the patient is reported as having only limited motion at the new articulation, with a history of a tendency to become stiff. In 1863 Weinlechner performed a section through the neck with a chisel. Langen- beck, in 1852, corrected deform- ities in the hip joint by divid- ing the bone with a narrow saw, passed into the bone through a small perforation made with a drill. Suppuration followed in all the cases operated on. Mr. Adams, in 1869, first divided the neck of the femur through a small wound, and gave to the operation the name of subcuta- neous osteotomy. Since that date sections of the femur for deformity have been performed by surgeons both on the conti- nent and in this country. Volkmann1 removed a wedge-shaped piece of bone from below the trochanter major in order to correct the adduction in bony anchylosis (Fig. 8). Later2 he substituted an excision of the joint with a chisel and gouge, a linear osteotomy being first performed, and then the head and neck removed in small pieces. He reports six patients operated upon with good results in regard to the re-establishment at the new articulation. The three points at which section has been made 1 Centralbl. fur Chirurg., 1874. No. 1, p. 1. 2 Centralbl. fiir Chirurg., 1880, No. 5. Fig. 7.—Sayre's line of sec- tion.