Syllabus of the course of lectures on the principles and practice of surgery : delivered in the Jefferson Medical College, Philadelphia / by Thomas D. Mütter.

  • Mütter, Thomas D. (Thomas Dent), 1811-1859.
Date:
1855
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Licence: Public Domain Mark

Credit: Syllabus of the course of lectures on the principles and practice of surgery : delivered in the Jefferson Medical College, Philadelphia / by Thomas D. Mütter. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    The constitutional remedies employed, are intended chiefly to produce prostration, so that all muscular resistance is destroyed ; and the most efficient are: a. Blood-letting. b. Hot bath. c. Tart. Antim. et Potassae. d. Fumes of tobacco, or injections of its infusion. 6. Intoxication. /. Production of anesthesia. Value of Myodiatomy in difficult cases discussed.—Also the propriety of attempting the reduction of old luxations considered. 3. From the partial paralysis of the muscles, and laceration of the ligaments, it is essential to apply some mechanical means to prevent the recurrence of the luxation. The usual dressings for fractures of the same bones may be employed for a week or two after the reduction of the accident. 4. As inflammatory symptoms may supervene, measures must be taken to prevent their occurrence, and should they occur in spite of our efforts to the contrary, the antiphlogistic system in all its details must be employed. 5. For the rigidity, which, in almost every ease, is the result of the dislocation, the remedies already mentioned as applicable to the same difficulty coming on after fractures, may be had recourse to. G. When complicated with fracture, always recollect to dress both inju- ries before you leave the patient, and also to adopt the plan of treatment already indicated under the head of fractures. COMPOUND AND COMPLICATED LUXATIONS. After tho reduction of the bones, the treatment of these injuries is identical with that advised in cases of compound and complicated fractures. It is, therefore, needless to repeat it here. The remarks relative to the dangers, and question of amputation, in the latter class of accidents, apply very well to the former. PARTICULAR LUXATIONS. I. INFERIOR MAXILLARY. Anatomy of the joint. liability.—This accident is common. Causes.—1. Predisposing. 2. Proximate. (1.) Age, sex, and preternatural elongation of the processus vaginalis. Variety. Symptoms. Diagnosis. Prognosis. Dissectinn.