A report on thirty-seven cases of tuberculous disease of the hip-joint, for which excision of the joint was performed in thirty-six cases / by Bilton Pollard and C.F. Marshall.

  • Pollard, Bilton, 1855-1931.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: A report on thirty-seven cases of tuberculous disease of the hip-joint, for which excision of the joint was performed in thirty-six cases / by Bilton Pollard and C.F. Marshall. 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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    IO hospital a year after the onset of the disease with an abscess in front of the joint ; joint excised through anterior incision ; head of femur disintegrated ; acetabulum and root of trochanter diseased; head and part of neck removed and trochanter scraped ; drained with two tubes; temperature rarely above ioi°. Healed by primary union, except at tube track ; recurrence fourteen months after excision. Four secondary operations—fourteen, sixteen, eighteen, and eighteen months and a half after excision. At the second of these there was fresh bone disease in the trochanter and upper end of the neck of the femur, with two small sequestra. There was no further bone disease at the last two operations. Wound finally healed about six months after recurrence, and a year and eight months after excision. A Thomas’s splint was worn for two years and six months. When last seen, three years and four months after excision, or a year and eight months after final healing, the splint had been left off eleven months. General health good and joint sound ; real shorten- ing an inch and three-quarters; apparent shortening an inch and a quarter, the difference being due to slight abduction. The limb could be flexed to 30° and extended to the vertical without move- ment of spine. Walks easily on toes without support, and can run about with other children. (Fig. 5.) Case 6.— IV. B , aged 5 years. Disease of the right hip began at 3 years of age ; no cause assigned; previous treatment by weight extension for three months, followed by Thomas’s splint for fifteen months. Admitted to hospital two years after onset of disease with abscess in front of and on outer side of joint. Joint excised by anterior inci- sion ; head of femur destroyed and upper part of neck carious; remains of head and part of neck of femur removed ; drainage for five weeks. Temperature never above ioi0; drainage track did not heal ; recurrence; two secondary operations, four and thirteen months after excision ; carious bone
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