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

  • Poore, Charles T.
Date:
1884
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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.

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    tome, and in 12 the instrument is not mentioned. In 13 cases, suppuration followed the operation. In 8— Golding-Bird,1 Croft,2 Servais,3 Billroth,4 Willetts,6 Adams,6 Holmes,7 a case mentioned by Wharton8 and Shaffer9—it was excessive. In 3—Maunder10 2 cases, Adams —it was slight, and in one HutchinsonI2 an abscess formed at the seat of section, but not con- nected with the bone four months after the opera- tion. In three cases there was more or less necrosis following the operation (Golding-Bird, Servais, and Billroth). Six deaths have been reported: One by Croft, from pyaemia, due to extensive suppuration and ca- ries of the head of the femur. The deformity was due to hip-joint disease. One by Billroth, from pyae- mia, four months after the operation, the deformity following hip-joint disease. One by Willetts, where extensive suppuration and caries of the head followed the section, and for which amputation at the hip joint was performed, the patient dying within twenty-four hours. One by Adams, eight months later, from tu- berculosis. One by Holmes, from exhaustion due to long and extensive suppuration. And one by Shaffer, from relapse of the joint disease, followed by exten- sive suppuration and death, two years and a half after the operation. A percentage of 8*82 +• It should be stated, however, in justice to the last operator, 1 Guy's Hosp. Rep., N. S., vol. xxii, p. 275. 2 Adams, Trans. Med. Chir. Soc, vol. Ix, p. 1. 3 Rev. de Chir., Dec, 1881, p. 1043. 4 Langenbeck's Archiv., vol. xviii. 5 Adams's Table, loc. cit. « Loc. cit. > Lancet, Oct. 14, 1876, p. 535. 8 Am. Jour. Med. Sci., April, 1883, p. 101. 9 Annals Anat. and Surg., Dec, 1883, p. 243. J0 Lancet, March 25, 1876, p. 476. Adams's Table, loc. cit. 12 Brit. Med Jour., March 4, 1882, p. 298.