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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    applicable to cases of anchylosis following rheuma- tism, and possibly those cases of recovery from hip joint disease in which there has been but slight destruction of these parts with bony anchylo- sis. But it is a serious question whether cases of deformity after suppurative coxalgia should ever be submitted to the operation. In the vast majority of cases the section would be through bone infiltrated with inflammatory products of low vitality. The incision, to gain access to the neck, would frequently have to be made through tissue that had been riddled with abscesses, and with the skin often bound down to the bone, and even after a sec- tion it would be very difficult to bring the limb down. Adams's operation is not applicable to cases where the psoas and the iliacus are greatly shortened, and this occurs more often after hip- joint disease than after anchylosis following any other condition. Cases of unreduced traumatic dislocation offer a much better chance. In regard to the class of cases that are suited to the operation, Mr. Adams justly states that those cases are best adapted to this operation in which there is but slight destruction of Fig. 11. —Smith's line of section.