1. The operative treatment in paralytic flail joints. 2. A note on the treatment of injuries about the elbow / by Robert Jones.
- Robert Jones
- Date:
- [1895]
Licence: Public Domain Mark
Credit: 1. The operative treatment in paralytic flail joints. 2. A note on the treatment of injuries about the elbow / by Robert Jones. 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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![No mishap has occurred in any of my series of twenty-six cases. Each wound has healed by first intention, and. contrary to expectation, those cases where trophic changes were most marked healed as readily as those whose nutritive conditions were nearer normal. (Bearing upon this point, I may mention that if a fracture occurs in these dwindled, mottled, blue, cold limbs as I have on occasions observed, it unites without any appreciable delay.) There is little or no pain attending the healing of the wound. If I have to operate upon both knee and ankle, I apply two splints, one a flexible metal splint so designed as to permit of early dressing of the ankle wound, and a Thomas’s bed splint for the knee. These can be used admirably in combination During the stage of getting about, the i homas s splint can be altered to admit of walking, and the ankle is in that way saved from every harmful influence. I have not included in this list a similar operation which i perform in talipes calcaneus often accompanied by pes cavus. t gives to my mind very much more satisfactory results than the shortening of the tendo-achillis as suggested by Mr. Willett, borne years ago I operated on several tendons in the prescribed manner, but I can only recall two cases where the improvement was maintained for any cons!deraMm6’ theS6’ pHor t0 °Peration- there was considerable muscular power in the muscles related to the n o hui nd th opponents_ The moment we Gainst tffaySed tend°-achillis> shortened by operation) against the superincumbent body weight exercised during locomotion, it can only have one result, and that is a fresh vitalitrinyfhe gi°f the tend0n’ We must have some ltality in the gastrocnemius and soleus. If Willett’s shPaTob°ta,:nP US TeCM°n. °f Cartilaee- be performed. wJ ioin from h hnSHderab 7 bett6r reSU*tS’ for on exhibiting the Ichi lis ^nd We -Can rem°Ve and shorten the tend°- action of tVn® Justusufficient cartilage to limit the mat wflh hen^ k t0 ab0U] 20°- The same Procedure elongated heel f H aP,Phed, Where’ in additi°n aa Darafvsed 5r tendon> thre ^lales have been completely cannoTbe °f which whTclf IttrusfTlMf: 3re me.r0l]gh outlines of fifteen cases yoUSt 1 have sufficiently abbreviated to avoid tiring period therenf CfSeS to Prolong for a considerable for the joints to ,Pparatus’ as u takes a considerable time body we °ht and t^C°T, S<? SeCUrel? fixed as to bear lbe can bldfscLd^ ankle lGuVer Strain- These- however, discarded as soon as the surgeon finds that the knee](https://iiif.wellcomecollection.org/image/b22381004_0007.jp2/full/800%2C/0/default.jpg)
