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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    abscess. Child ill nourished and sickly. Hip adducted 40° and shortened one-third of an inch. Joint excised by an- terior incision. Head and neck of femur diseased. Head and part of neck removed. The child bore the operation well until the joint was flushed with hot water, the temperature of which was not taken. The water was hotter than it should have been, but the finger of the operator was kept in the wound whilst the water was flowing. The child’s pulse at the time suddenly failed, and death occurred three hours after the operation. Florence B , aged 6j4 years. Disease of right hip began at 5 years of age. No cause assigned. Treated before operation by weight extension, and afterwards by Thomas’s splint. Admitted eighteen months after onset of disease with an abscess in front of and on outer side of joint. Limb was then flexed to 30°, slightly adducted and rotated out. Joint excised by anterior incision. Head of femur disintegrated. Acetabulum carious. Head of femur re- moved. Drained with tube. Temperature irregular for five weeks. Primary union except at tube track, which healed five weeks after excising. Nine weeks after excision a sinus formed, and was found to lead to acetabulum, which was scraped. Nine months after excision there was still a small sinus. Child died eleven months after excision from heart disease, from which she had been suffering for several years. Jonathan H , aged 5J- years. Died two days after excision. Death supposed to be due to iodoform poisoning, iodoform emulsion having been used at the operation. [No notes of this case could be found, and no post-mortem was allowed.] Louisa M , aged 8 years. Disease of left hip began at an unknown date. No cause known. Treated with weight extension for two months before operation Admitted with a sinus below the groin. Limb was then flexed and ad- ducted. Joint excised by posterior incision. Head and neck of femur carious and were removed. Drained with tubes. Temperature irregular. Wounds did not heal. Pour second- ary operations at two, two and a-half, three and a-half, and four and a-half months after excision. At the first of these an iliac abscess was opened and drained and a sequestrum removed from the old wound; the others consisted in scraping sinuses. Healed about eight months after exci- sion. Recurrence two years and eleven months after ex-