Operation in hip-joint disease without shortening / by R. Preston Robinson.

  • Robinson, R. Preston.
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Licence: Public Domain Mark

Credit: Operation in hip-joint disease without shortening / by R. Preston Robinson. 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.

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    [Reprinted from A medico Nov R.J 20n>ages 790-792, OPERATION IN HIP-JOINT DISEASE WITHOUT SHORTENING.1 BY R. PRESTON ROBINSON, M.D., of Ottawa, Ont. Attending Surgeon, County Carleton General Protestant Hospital, Ottawa, Ont. So much has been said and written on the subject of morbus coxte or tuberculous disease of the hip-joint, that some apology would seem necessary for attempting to produce anything of special interest to surgeons on this important malady, which so frequently develops in our midst. The treatment of t uberculosis of the lungs and of other organs of the body has attained such satisfactory l’esults within the last few years, that my attention has been particularly drawn to tuberculous disease of the hip- joint, and especially to those cases which, owing to neg- lect or otherwise, have advanced to the stage known as abscess of the hip-joint. In these cases, as is well known, there may be involved the head of the femur, the great trochanter, the leaser trochanter, and a greater or lesser portion of the shaft of the femur, all more or less degenerated as a result of the destructive process. The operation to which I desire to call attention can best be illustrated by referring briefly to 2 cases in which I operated recently in the C. C. G. P. Hospital, Ottawa. Case I.—A little girl, 44 years old, whose parents are com- paratively healthy. Her lather’s father and 2 brothers and 1 sister died of tuberculosis of the lungs. The child was asthmatic from babyhood, when she suffered from acute spinal menin- gitis. She had frequent scrofulous manifestations on the skin, especially about the head, face and ears. About September, 1902, her mother noticed a limp and screaming at night. The usual symptoms made the diagnosis plain. The patient was given some extension treatment, but an abscess developed rapidly, and when I saw her in January, 1903, the limb had become shortened, Hexed, adducted and motionless. A large abscess was fully developed. She was taken to the hospital on January 29, 1903, and I operated on February 3. The opening was made on the outer side below the great 1 Read before the Canadian Medical Association at London, Ont., August, 1903.