Hip disease in childhood : with special reference to its treatment by excision / by G. A. Wright.

  • Wright, G. A. (George Arthur), 1851-
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Hip disease in childhood : with special reference to its treatment by excision / by G. A. Wright. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    APPENDIX L CASES {For Summary and latest results, vide Table, p. 136 el sea.} EXCISION. Case i. Abscess. Femoral Disease. Recovery.—Alfred D., age y\ years. Admitted September 23rd, 1881. Phthisical family history; had a fall in Whit-week, 1881 ; lameness and night pain since; no treatment On admission, right thigh flexed slightly, adducted and rotated inwards, fixed to pelvis and painful on movement; abscess above and behind the great trochanter. September 30th, the head of the femur was excised antiseptically. Throughout October had diarrhcea at times; the wound did well; in December he was gaining flesh and got up with crutches and a patten on the sound leg, extension being kept up while in bed; his progress varied somewhat; an incision had to be made at one time in front of the thigh, and he was discharged in a Bryant's splint in January, 1882. He was seen January, 1883, in good position, and the hip. improving and promising well; very little discharge-,, swelling going down, and he was gaining flesh. February, 1884, i\ inch shortening; two sinuses; joint stiff; is anaemic, but growing fast. February, 1885, doing well (vide Fig. 5). [NOTE —Functional shortening is used to express measurement from anterior superior iliac spine to inner malleolus; actual, ilreal or ''femamV'' shortening is measured from the top of the femur on the excised side, and compared with measurement from the top of the trochanter major on the sound side.] L