Fixation after excision of the knee / by H. Augustus Wilson.

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

Licence: Public Domain Mark

Credit: Fixation after excision of the knee / 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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    Extracted from The American Journal of the Medical Sciences, March, 1893. FIXATION AFTER EXCISION OF THE KNEE. By H. Augustus Wilson, M.D., l'ROFESSOIt OF GENERAL AND ORTHOP2EDIC SURGERY IN THE PHILADELPHIA POLYCLINIC; CLINICAL PROFESSOR OF 011TII0P.EDIC SURGERY IN THE JEFFERSON MEDICAL COLLEGE ; CONSULTING ORTHOPAEDIST TO THE PHILADELPHIA LYING-IN CHARITY, AND TO THE KENSINGTON HOSPITAL FOR WOMEN. A patient with tubercular ostitis of condyles of the right femur with sinuses extending up the thigh, posterior displacement of tibia, and flexion, was confined in bed for a year. Excision of the necrosed con- dyles and of the sinuses leading thereto was performed, with removal of about one and one-half inches of femur and tibia. Three strong chro- micized catgut sutures were employed to maintain an accurate coapta- tion, and a plaster-of-Paris splint, embracing entire leg, foot, thigh, and Fig. 1. Fig. 2. elv s, was kept on for five,weeks. When the fixed apparatus was removed the leg was perfectly straight, the wounds all perfectly healed, and there was apparently firm bony union. The patient was permitted to get up and go about on crutches without use of the affected leg, upon which a lght rigid posterior apparatus of plaster-of-Paris was applied. Three on is a ter le operation, the appearance of the knee being unchanged, sfpqiSTl-!-m] '7 ob8e1rvatioTn as.cured, with firm bony union in a short!v L' >n / a.ter ^ again saw the patient and learned that shortly after my last visit, ie., five months after the excision, she had