Statistical report of all operations performed on healthy joints in hospital practice by Mr. Lister, from September 1871 to the present time, together with such accidental wounds of joints as occurred in the same period / by W. Watson Cheyne, F.R.C.S.

  • Cheyne, William Watson, Sir, 1852-1932
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Statistical report of all operations performed on healthy joints in hospital practice by Mr. Lister, from September 1871 to the present time, together with such accidental wounds of joints as occurred in the same period / by W. Watson Cheyne, F.R.C.S. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    17/18
    \Table of Wounds of Joints, continued. Treatment. Remarks. Wound enlarged, and joint mjected with a solution of carbolic acid in spirit (x-s). The opening in the skin was enlarged. The projecting end of the femur was s.-iwn off, and reduction was effected. The wound was washed out with i to 20 carbolic lotion. An incision was made into the knee-joint on the outer side, and a drainage-tube was inserted into the joint, to prevent accumula- tion of fluid. The detached portions of bone were re- moved ; wound .syringed out with i in 20 carbolic lotion. Dislocation re- duced. Drainage-tubes inserted. Du- puytren's splint. Wound enlarged ; some small fragments of bone removed, and the wound and joint syringed out with i to 20 carbolic lotion. Drainage-tubes inserted. Joint washed out with i in 20 carbolic lotion, and with a solution of carbolic acid in rectified spirit (1.5). Drainage- tube inserted ; posterior splint applied. The wound had quite healed on November 17th. Aseptic course ; dressed four times. When pa- tient was discharged, the ankle was quite nor- mal, with perfect movement. Aseptic course. The drainage-tube was removed from the joint on October 28th, and the wound of the joint had completely healed on Novem- ber 24th : the wound in the thigh healed on De- cember 13th. As the fracture remained un- united, Mr. Lister injected iodine between the ends of the fragments on Febniary 14th. Union not yet occurring, Mr. Lister cut off the ends of the bones and wired them together with thick silver wire. The femur is stiil ununited, but is under treatment. Aseptic course. Some portions of the skin sloughed. When discharged, the wound was almost healed, but the ankle-joint was stiff. Aseptic course. Wound completely healed on June 30th. The movements of the joint were then very good, and have since that time steadily improved. Aseptic course. The pain on moving the knee ceased a few hours after it had been washed out. The wound was quite superficial when the j^a- tient was discharged, and the knee was quite movable. Healing was complete on July 31st. The patient was again seen in October, the movements of the knee being then perfect.