Reports in operative surgery : series the third / by Richard G.H. Butcher.

  • Butcher, Richard G. H., 1819-1891
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: Reports in operative surgery : series the third / by Richard G.H. Butcher. 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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    9th. Removed the needles and stitches; I suffered them to remain thus long because not productive of tlie slightest irritation, and they yielded such an efficient protection to the recently united parts, against any injury from the unguarded movements of the child. The patient from this time rapidly improved in health, being now able to eat abundantly, which It was prevented doing prior to the operation. On the 12th the ligature of the facial artery was cast off, and on the 14th the track through which it was brought out upon the cheek was obliterated. On the 15th the child was up and running about the ward, and on the 25th was dismissed cured. The improved condition of the child when it was brought to see me at the hospital in a few weeks later, was most strik- ing: he was large, fat, and sprightly. The accompanying draw- ing is an accurate representation of his appearance, and a most excellent likeness. (See Plate V., Fig. 4.) The extent of bone taken away, and the form of the tumour, are each depicted of full size. (Fig. V., Plate 5.) Case VII.—Excision of the Metatar so-Phalangeal Articulation of the great Toe; Recovery, with perfect use of the foot. In speaking of this operation, Professor Fergusson, in the last edition of his Practical Surgery, says at page 445:—“ It happens sometimes that the disease [caries] is limited to the articulation between the great toe and its metatarsal bone. In such an instance. Professor Pancoast has employed resection of the joint, a proceeding which, so far as I know, has never been done in this country ; it is said to have also been performed by Professor Regnoli of Pisa.” Excision of the metatarso-phalangeal articulation has been most successfully performed by M. Fricke; and Kramer ex. sected the anterior extremity of the first metatarsal bone in 1826, for a compound dislocation. M. Josse'^ speaks of a case in which the luxated head of the first metatarsal bone was ex- sected, and the movements of the great toe after were preserved. M. Blandin in one case exsected the anterior half of tliis bone for a spina ventosa; in another case he removed the three anterior fourths of it*^, being an inch and a half in length ; while M. Jo- bert has removed the anterior half for caries. Roux has like- wise successfully performed this operation ; and Fricke has been no less fortunate in removing the phalangeal articulation of the “ Journal do Medecine et do Chirurgie, p. 352. *' Journal Hcbdomadaire do Medecine 18th October, 1828.