Elkoplasty, or anaplasty applied to the treatment of old ulcers : also, a new mode of treatment for delayed or non-union of a fractured humerus / by Frank H. Hamilton.

  • Hamilton, Frank Hastings, 1813-1886.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Elkoplasty, or anaplasty applied to the treatment of old ulcers : also, a new mode of treatment for delayed or non-union of a fractured humerus / by Frank H. Hamilton. 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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    ing failed very much since the operation. The flap has been dressed in the same manner as at first, nearly every day. It looks healthy. No part of it has sloughed. To-day the operation was recommenced before the class, by dissecting out the granulations and part of the cicatrix from the diseased leg, and thus forming a deep bed of the size and shape of the flap as it now appeared, both contract- ed and thickened. The flap was then made raw again on its margins, and its lower surface was shaved off, with the doub- le purpose of removing the granulations, and of diminishing its excessive thickness. When the bleeding had ceased, the left leg was carried across the right, so that the tendo- Acliilles and heel of the left leg rested upon the instep and ankle of the right—a thick cotton pad being interposed to prevent painful pressure. The flap was now brought snugly into its new bed, on the right leg, and well secured with in- terrupted sutures, a moderate compress, and roller. The two limbs were further secured immovably to each other by bands, and protected at various points by well made com- presses, and the wounds carefully covered with lint spread with cerate. Feb. 5th.—The wound has bled again, as after the first operation, although ice was applied diligently from the mo- ment the dressings were completed. Much pressure was regarded as inadmissible. Bleeding ceased when he became faint, about three hours after the operation. Feb. 18th.—Two weeks since the last operation, and four weeks from the first. Patient has required to be sustain- ed constantly with beer and nourishing diet. His appetite still remains bad. Bowels have not been moved in two weeks. lie has not suffered much pain, only fatigue. To- day the base was separated from the left leg, the flap having united through most of its edges and under surface, to the opposite leg. No bleeding ot consequence followed, dhc parts were thoroughly washed and dressed with ung. basil, and a snug roller applied. Ordered sulpli. mag. §j.