A new method of direct fixation of the fragments in compound and ununited fractures / by Nicholas Senn.

  • Senn, Nicholas, 1844-1908.
Date:
[1893]
Catalogue details

Licence: Public Domain Mark

Credit: A new method of direct fixation of the fragments in compound and ununited fractures / by Nicholas Senn. 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.

    23/30 (page 21)
    single lady, twenty-four years old, an American by birth, and school teacher by profession. Family history good and general health fair. Three years ago she suffered from an attack of acute suppurative osteomyelitis of the lower part of the left humerus. An abscess formed at the lower part and outer aspect of the arm, which was incised two weeks after the beginning of the first symptoms. She made a good recovery, and the abscess healed promptly with the exception of a fistulous opening which led down to the bone. At the Fig. 23.—Ununited fracture of lower end of humerus treated by splitting upper fragment and impacting fragment corresponding with shaft of bone into the lower; immobilization by bone ferrule, two catgut sutures and plaster-of-Paris splint. expiration of a year an operation was performed for this condition, and as it appears a resection of the entire diameter of the humerus to the extent of at least four inches was made. Since the operation the patient has been unable to extend the hand, showing that the musculo- spiral nerve was severed during the operation. The resection wound healed quickly, but there has been no attempt at union by bony callus. The patient was admitted into the Presbyterian Hospital April 1, 1893. The whole limb was atrophied. Arm very much shortened. Resected ends separated about three inches and con- nected by a band of cicatricial tissue. Paralysis of musculo-spiral