[Report 1934] / Medical Officer of Health, Middlesex County Council.

  • Middlesex (England). County Council. n 99020326.
Date:
1934
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1934] / Medical Officer of Health, Middlesex County Council. Source: Wellcome Collection.

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    16 • 1 per cent, of the fractures and fracture dislocation cases were of the compound variety. Men ... Women Children under 16—male ... Children under 16—female Total 58, of whom 6 died. 25, of whom 4 died. 19, of whom 1 died. 16, of whom none died. 118, of whom 11 died. Special Methods of Treatment applied to the above Cases. Manipulation under general anaesthesia .. .. .. .. 9 Application of plaster of Paris .. .. .. .. .. 79 Application of plaster of Paris under general anaesthesia .. .. 11 Transfixion pin or wire .. .. .. .. .. .. .. 9 Open operation .. .. .. .. .. .. .. .. 5 Amputation for compound fracture .. .. .. .. .. 7 The following compound fracture cases had amputation—radius and ulna (above wrist) ; 2 cases of phalanx of hand ; 2 cases of finger ; tibia and fibula, comminuted and compound (through femur); and phalanx of foot. There was not a death after amputation. Results of Treatment. 1934. Very good 71 60 • 2 per cent. Good 20 17*0 „ Medium or poor .. 16 13-5 „ Died 11 9-3 „ Totals .. 118 100-0 -The result of treatment -is classified as “ very good ” only when the th] conditions are fulfilled 1. Little or no depreciation of function. 2. Anatomical alignment of fragments. 3. Shortening, if present, not exceeding half-an-inch. The result of a fracture successfully treated by amputation is classified as medium. Cause of death :— Cerebral contusion or laceration .. .. .. .. .. 5 Septic meningitis .. .. .. .. .. .. .. 1 Shock and internal haemorrhage .. .. .. .. .. 1 General peritonitis (ruptured bowel) .. .. .. .. .. 1 Hypostatic pneumonia .. .. .. .. .. .. .. 3 Total fracture deaths .. .. .. .. 11 The above figures relate to the fracture cases treated in hospital. The number is small considering the size of the hospital and the extent of the district. At this hospital very adequate facilities and equipment exist for the treatment of fractures. The essential conditions of an organized fracture service as enumerated by the Committee on Fractures,* viz., segregation of cases, continuity of treatment, after-care and unity of control, are carried out in the practice of this hospital. All fracture cases are followed up at the Fracture Clinic until a satisfactory result is obtained. VIII.—The Work of the Special Departments. 1. Surgical .. .. .. Major operations .. .. 652 Minor operations .. .. 1,260 1,912 2. Anaesthetics .. .. General .. .. .. .. 1,205 Local .. .. .. .. 366 Spinal .. .. .. .. 140 3. Radiological .. .. Patients investigated .. .. 1,202 Investigations .. .. . . 1,774 * Vide Report of Committee on Fractures—Supplement to the British Medical Journal, 16th February, 1935.
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