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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    from the sinus leading into the pelvis; she takes her food well, but is still rather thin and feeble ; her legs have not yet been straightened. [The case was one of exceedingly acute ostitis of the femur with secondary pelvic abscess. Apparently thrombosis of the iliac vein occurred as the result of the pelvic inflammation, but there is now every prospect of her getting well, November, 1881.] Case 18. Hip Disease. Old Excision. Amputation. Relieved.—Ralph D., age 6 years. Admitted 16th April, 1878; discharged 28th September, 1878; readmitted 30th May, 1881 ; discharged 27th August, 1881. History: Early in 1878 the hip was excised. Result: He was sent out with some necrosis of his pelvis ; a good deal of discharge and 3 inches shortening. Readmitted May, 1881, 3 inches shortening; much discharge ; anaemic ; large liver ; albuminuria. Treatment: Amputation at the hip ; the femoral artery was first tied with chromic gut; oval operation ; soft tissues much infiltrated ; a quantity of new bone formation; pelvis diseased; there was very little shock, and the next day he sat up and played with toys. Result: Discharged much improved, but with sinuses ; no albu- minuria, and liver smaller; was getting about on crutches. December, 1881, gets about out of doors, and can run with his crutches. Case 19. Hip Disease. Amputation.—Peter H., age 7 years. Admitted July 8th, 1884. History (?) phthisical. Duration : Five years. Had scarlet fever since it began ; after the fever the hip became better until a fortnight ago, when an abscess appeared and burst yesterday. On admis- sion, fairly healthy boy; left hip disease; large abscess discharging; shortening 1 inch; sinus enlarged. nth, temperature I03'6. 12th, curdy pus and small sloughs removed. 17th, screams at night; wound better. August 2nd, counter opening made into a pocket of pus at the back of the joint. 5th, on exploring the abscess cavity the whole of the front of the upper part of the femur was found bare and rough; the margins of the acetabulum were bare, and several small loose sequestra