Osteotomy and osteoclasis for deformities of the lower extremities / By Charles T. Poore.

  • Poore, Charles T.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Osteotomy and osteoclasis for deformities of the lower extremities / By Charles T. Poore. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    linear osteotomy. I have never had an accident of any kind happen after an osteoclasis of the bones of the leg. I think that, with the above exceptions, all cases of tibial curves should be corrected by osteoclasis. Accidents.—A case of non-union is reported by Dr. Fifield.1 It occurred in a girl, five years of age, who presented a congenital distortion of the arms and legs. In August, 1880, osteoclasis was performed on the left tibia and fibula. In October of the same year a similar operation was done on the right ]eg and fore-arm. The bones of this limb united in a good position in a few weeks, but the left tibia did not unite firmly, and there was considerable pro- jection forward at the seat of fracture. In March, 1881, the bones were again fractured at the point of partial uniont and the tendo Achillis divided. The leg was straightened and placed in a plaster-of-Paris splint. In April there was no formation of callus, but by May there was partial union with bowing forward of the tibia. During the next sixteen months she wore a steel brace, but there was no improvement. Dunne the month of June, 1882, it was twice fract- ured, but with no effect as regards union. In Sep- tember, 1882, an incision was made down upon the point of fracture; the periosteum was found to be thickened and the ends of the bone sclerosed. A thin, wedge-shaped piece of bone was removed from the extremities of both fragments and the ends of the bones wired together, and in two months firm union was established between the fragments. Porter8 re- 1 Med. News, April 14, 1883, p. 416. 2 Boston Med. and Surg. Jour., April 14, 1879, p. 217.
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