Case in which Adams's operation for subcutaneous division of the neck of the thigh-bone was performed on both sides, in the same patient, for straight ankylosis / by Edward Lund.

  • Lund, Edward, 1823-1898.
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: Case in which Adams's operation for subcutaneous division of the neck of the thigh-bone was performed on both sides, in the same patient, for straight ankylosis / by Edward Lund. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    CASE OF ADAMS’S OPERATION. At our annual meeting held at Newcastle-upon-Tyne, August 1870, Mr. William Adams read a paper entitled “Remarks on Subcutaneous Division of the Neck of the Thigh-bone, as compared 'with other Operations for Rectifying Extreme Distortion of the Hip-joint in Bony Ankylosis ”, in which he observed that “ cases of extreme deformity at the hip-joint, with the thigh flexed upon the pelvis, and generally , adducted or drawn towards the opposite limb, sometimes even crossing over the opposite limb, are not uncommonly met with in surgical ■practice, as the result of various forms of hip-joint inflammation.” ^He also described in detail a very simple and ingenious method of so dividing the neck of the femur in such cases as to remedy the defor- i mity and greatly benefit the patient. But, in the cases so referred tto, and in others subsequently published by Mr. Adams in the form of a pamphlet, two things are observable : recourse was had to the • operation to correct angular ankylosis of the limb when held in a i useless or distorted position; and, secondly, after the operation, in [only one case was Mr. Adams able to record the attainment of motion n the false joint thus foi’med at the point of section of the bone, and ohis occurred in the practice of Mr. Jessop of Leeds. The operation oad been performed on August 1st, 1870, and on November 11th in he same year, the report was that “ The range of motion in the new oint was not diminished, and command over the limb had increased, i The patient could now place the foot somewhat firmly on the ground, [. ind could distinctly bear a little weight upon it. The attempt to use | t in progression gave rise to some pain ; but this did not prevent her