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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    the soft parts on either side of the bone. The apex of the wedge should extend well into the compact tissue on the opposite side of the bone. When this point has been reached and the whole width of the bone included in the wedge, the section can be com- pleted by driving an osteotome directly backward from the apex of the cuneiform section. If the V- shaped piece has been accurately calculated, the two opposite surfaces will come into apposition, and the deformity just corrected. During the operation, care should be taken to remove all the shavings of bone. A sponge wet with carbolized water is placed over the wound and the Esmarch bandage removed. The haemorrhage from a cuneiform is much greater than that from a linear osteotomy. After the circulation has become re-established in the limb the sponge is removed, and any vessel that may cause trouble se- cured with carbolized gut. The edges of the perios- teum are to be approximated with antiseptic liga- tures. If the bone is subcutaneous, and if it is pos- sible, a counter-opening should be made opposite the apex of the wedge, and carbolized horse-hair passed from this through the operation wound. The lips of the wound should then be brought into perfect co- aptation with carbolized gut, the horse-hair being brought out at one corner. Over the line of inci- sion iodoform is dusted, and then a small compress applied sufficient to cover the wound, and over this again a flannel bandage and plaster-of-Paris splint, if in a position where such a dressing is applicable. On the second day a fenestra is to be cut, the com- press removed, and the horse-hair is taken out piece by piece. This is easily done without giving the