Compound luxation of the ankle-joint : illustrated by cases with special reference to the preservative surgery of the foot / by Henry Gray Croly.
- Croly, Henry Gray
- Date:
- 1891
Licence: Public Domain Mark
Credit: Compound luxation of the ankle-joint : illustrated by cases with special reference to the preservative surgery of the foot / by Henry Gray Croly. 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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![Case III. Thomas Smith, of Williamstown, aged twenty-eight years, of very temperate habits, was admitted into the City of Dublin Hospital on Sunday morning, 4 o’clock, 8th July, 1888, suffering from compound luxation of the left ankle-joint. This case is very like No. 19 of Sir A. Cooper. He gave the following account of the accident:—He went to Merrion Farm, and was lying on a bench of straw, covered by an iron roof, intend- ing to sleep there, so as to do some extra early work in the morning. A bundle of the straw which he was on gave way, and he fell to the ground, a distance of 20 feet. He was stunned by the fall, and on recovering his consciousness he tried to walk, but found he could not do so, and saw the bones protruding through his boot. He was conveyed at once to the City of Dublin Hospital, where I was summoned by telephone at 4 a.m., and on arriving there I observed the tibia and fibula protruding more than 3 inches through a small opening in the soft parts at the outside of the joint. There was no fracture of the bones; the inner edge of the foot was turned upwards, almost touching the inside calf of the leg (see Fig. III.). There was very little haemorrhage. The patient having been placed under the influence of ether by Mr. Jackson, house surgeon, and the leg flexed on thigh, and thigh on abdomen, I endeavoured to reduce the dislocation, but found it necessary to enlarge the wound upwards on the fibula. The protruded bones and soft parts having been well washed with a solution of cai’bolic acid, reduction was easily effected, and the limb placed in suitable splints, the wound closed and dressed anti- septically; there was considerable tension of the limb in this case, also necessitating free incisions. The patient made an uninter- rupted recovery, and the wound healed rapidly, and in three months the patient was able to put his foot under him and move about the ward, and very shortly afterwards was able to leave hospital and resume his work, having a perfect foot. “ 8 Castle Dawson-avenue, Williamstown, “ December, 1889. “ I can walk, and run, and work as well with my left foot, in- jured in June, 1888, as ever I did, and am not one bit lame. “ Thomas Smith.” [These patients were exhibited at the meetings of the Surgical Section of the Royal Academy of Medicine.]](https://iiif.wellcomecollection.org/image/b22452072_0014.jp2/full/800%2C/0/default.jpg)
