Contributions to orthopedic surgery / by Robert Jones and John Ridlon.

  • Jones, Robert, 1857-1933.
Date:
[between 1890 and 1899?]
Catalogue details

Licence: Public Domain Mark

Credit: Contributions to orthopedic surgery / by Robert Jones and John Ridlon. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    upon surgeons the necessity of making it sufficiently long so that the patient's heel is a good inch from the sole of the boot. In this way the ankle escapes a jar which were the splint shorter would surely be conveyed to the knee. The joint is more favorably situated than the hip for operative interference. Pulpy masses of tuberculous tissue may be injected with the idoform mixture, tuberculous abscesses may be aspirated or aspirated and injected, as may the joint-cavity itself, or any collection of fluid may be laid open, washed out and the wound closed without drainage. Any of these procedures, if aseptically performed, may hasten the day of recovery ; but with either procedure septic infection may be in- FlG. 171.-—The saine case shown in Fig. 170 after a fair degree of correction of the deformity. troduced, and a serious injury inflicted. We wish to emphasize the belief that no one of these operative procedures is called for unless the patient is already suffering from septic fever. As to the major operations, erasion has no longer a place; it has no advantages over an excision in the final result; motion is never regained, relapses are the rule, and deaths from tubercular infection are frequent. Excision as a time-saving measure in an adult case may be employed if the patient chooses, but in our opinion is in no other way justifiable. Any joint that can be cured by excision can also be cured by mechanical means without excision, and with a better ultimate