Selected monographs.

  • Kussmaul, Adolf, 1822-1902.
Date:
1859
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Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    have taught us with respect to the final results of resections on animals, I believe I have succeeded in embracing fuUy in the fol- lowing chapter. I. Resections of the extremities of bones. Yermandois ^ was the first who excised the upper part of the femur just below the trochanter minor on a dog. His object was to recommend the excision of the head of the femur in preference to amputation at the hip-joint. In a few days the end of the resected bone rose up to the level of the acetabulum, and two months afterwards the woimd had healed by suppuration. The animal carried the shortened limb pendulous at fii-st; towards the end of the second month it supported itself a little on the back of that foot. At the dissection, which was performed about the above time, the femur was found to be tliicker than on the sound side, the meduUary cavity very large and full of marrow, the compact substance tliinner than in the healthy femur. The upper end was studded with irre- gular prominences of compact bony substance, wliich were directed more especially outwards, towards the cicatrix in the soft parts, and were united to the acetabulimi by a ligamentous material. The acetabulimi was diminished in circumference, and was filled with a soft, very red substance, which Yermandois took for the synovial gland enlarged and injected. To this experiment are to be added the observations of Cliaussier,^ Korler,^ Wachter,* and in more recent times B. Heine.^ They aU. of them operated on dogs. The results are tolerably consistent with the preceding. The wound was in most cases united by the interrupted suture, and healed by first intention. Chaussier met with this so often, that in order to investigate the influence of suppuration on the healing process he was obliged to use irritants of various kinds. This was followed by numerous collections of pus, which were allowed to open spontaneously. The final result was not essentially different from that of those cases in wliich ■ 'Journal de Medecine,' 1786, torn. kvi. * 'Magasin encycloped.' An. V., torn, vi, Ko. 24; 'Hufeland, Harless u. Schreger Journal der auslandischeu Med. Litt.,' Bd. i, 1802. * 'Experimenta circa regenerationem ossium,' Goett., 1786. 'Dissert, de articulis extirpandis,' &c., Groningen, 1810. 'Feigel Chirurg. Atlas,' Wurzbg., 1850.