A new operation for bony anchylosis of the hip joint with malposition of the limb by subcutaneous division of the neck of the thigh-bone / by William Adams.
- Date:
- 1871
Licence: Public Domain Mark
Credit: A new operation for bony anchylosis of the hip joint with malposition of the limb by subcutaneous division of the neck of the thigh-bone / by William Adams. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![the articular cartilage, and partial or complete des- truction of the joint; or, 2. Inflammatory thickening and retraction of the ligamentous and other fibrous structures external to the joint; the joint itself re- maining in a healthy, or nearly healthy condition, without any destruction of the articular cartilages, but sometimes with intracapsular adhesions. In the present paper it is not my intention to speak of false anchylosis ; but, in reference to the first con- dition of false anchylosis above described, I would only observe that it is generally the result of strumous disease, with ulceration of the articular cartilage, and that any amount of contraction and deformity may be overcome by gradual mechanical extension, with or without tenotomy, according to circumstances, so as to bring the limb into an improved position ; dmt there never can be any reasonable expectation of restoring motion in the joint, and forcible extension is ex- tremely hazardous, as liable to set up inflammation and re-excite destructive disease in the articular extremi- ties of the bones. With regard to the second condition of false anchy- losis, in which there is no destruction of the articular cartilages, I would only observe that this condition is generally the result of acute rheumatism, frequently with gonorrhoea] complication, or, as it is called, gonorrhoeal rheumatism. In this form, forcible ex- tension under chloroform is especially applicable, any contracted tendons having been divided three or four days previously, where this may appear necessary; by it the deformity may be completely overcome and free motion of the joint restored in a large proportion of cases, if the treatment be commenced within six](https://iiif.wellcomecollection.org/image/b21942584_0026.jp2/full/800%2C/0/default.jpg)
