Bone operations for the correction of club-foot : based upon an analysis of 435 operations by 108 operators / by H. Augustus Wilson.

  • Wilson, H. Augustus (Harry Augustus), 1853-1919.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: Bone operations for the correction of club-foot : based upon an analysis of 435 operations by 108 operators / by H. Augustus Wilson. 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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    H. Augi ,.y, 1 US W i Lu M 'lb'l.l bPi-; Uc « i PHiLfnffi [Reprinted from the Transactions of the American Orthopedic Association, September, 1893.] bone operations for the correction of CLUB-FOOT, BASED UPON AN ANALYSIS OF 435 OPERATIONS BY 108 OPERATORS. By H. AUGUSTUS WILSON, M.D., PHILADELPHIA, Professor of General and Orthopedic Surgery in the Philadelphia Polyclinic and College for Graduates in Medicine; Clinical Professor of Orthopedic Surgery in the Jefferson Medical College and in the Woman’s Medical College; Consulting Orthopedic Surgeon to the Lying-in Charity and to the Kensington Hospital for Women. While statistics are acknowledged to be of doubtful value at their best iu establishing positive facts, still they often occupy im- portant positions in the selection of the remedial measures that have the best chances of success at the least risk. The statistics that are here offered were gathered from a very large source, and while they may not embrace all the cases operated upon by the various opera- tors whose names are given, nor all the cases thus operated upon by other surgeons, they include enough material from which to draw some inferences that will be of service. The object sought was not to compare the results obtained by the various surgeons, but rather to ascertain : First, as to the state- ment often made that the mortality in bone operations in club-foot was a high one. Secondly, to ascertain the age of the patient when such operation was deemed advisable or expedient. Thirdly, the form of operation generally selected or the amount of bone tissue that was deemed necessary to remove iu order to obtain correction. Fourthly, whether joint motion or ankylosis was sought. Fifthly, whether subsequent orthopedic apparatus or braces were required. Sixthly, whether the general usefulness of the foot was deemed better than could be obtained by other means. Seventhly, as to the selection of cases suitable for bone operation. Under the head of mortality I have found but 3 cases out of 435 that died of septicaemia, while 3 deaths in addition are ascribed to