The treatment of haemorrhage from the posterior-tibial artery in the upper two-thirds of its course / by William Harrison Cripps.

  • Cripps, Harrison (William Harrison), 1850-1923.
Date:
[1875]
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of haemorrhage from the posterior-tibial artery in the upper two-thirds of its course / by William Harrison Cripps. 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.

    11/14 (page 103)
    Case X.—'Monthly Journal of Medical Science', 1842, p. 965. Woman, aged 62. Simple fracture of tibia and fibula ; became compound with a good deal of sloughing. On June 1st sudden gush of blood from posterior tibial, ceasing on application of cold and elevation. On the following night suddenly lost 2 lbs. of blood : slight pressure was merely applied. At nine on the following morning blood gushed out as freely as ever—firm pressure over wound arrested it. The femoral was then tied in Scapa’s triangle by Syme. Complete recovery. The three following cases are from the ‘ Edpertoire Gendral d’Anatomie et de Physiologic’:— Case XI., p. 227. A woman, aged 62, had the left leg broken about the middle. Dupuytren, on examining the patie'ht on the following day, dis- covered a pulsating swelling in the calf. This he thought was the result of a wound of the posterior tibial. He tied the femoral artery in the middle of the thigh. On the sixth day the size of the swelling was diminished to one-third. The patient did well, and at the end of the fourth month was dis- charged with a useful limb. Case XII., p. 230. Jacques Boudet, aged 30, had a comminuted fracture of the leg, caused by being run over by a laden waggon. On being taken to the Hospital St Eloi, the limb was enormously swollen, with dis- tinct pulsation in the calf Pressure on the femoral stopped the pulsation. The following day M. Delpech tied the femoral. The patient did well, and in less than three months was discharged perfectly cured. Case XIII., p. 233. M. de Gombaut was wounded by a pistol-ball passing between the tibia and fibula in the upper part of the leg. Violent bleeding ensued, but was stopped by compression and bandage. The limb became painful and swollen, with a pulsating swelling in the calf. On the thirteenth day haemorrhage occurred; this bleeding was renewed several times, greatly ^weakening the patient. At this time he was first seen by Dupuytren. He says, ‘ I found the foot and leg violet coloured, cold, numb, and swollen; on the upper part of the leg was a tense swelling, expanding with each action of the heart. On the tumour were two small openings, one near the back of the fibula, the other on the inner edge of the calf.