Statistical report of the major operations performed by Professor Spence in the Edinburgh Royal Infirmary / by George Kirkwood ; with remarks by Professor Spence.

Kirkwood, George.

Date:: 1875

Credit: Statistical report of the major operations performed by Professor Spence in the Edinburgh Royal Infirmary / by George Kirkwood ; with remarks by Professor Spence. 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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$Upper Extremity— Number. Recovered. Died. Slioulder-joint 1 0 1 Arm 2 1 1 Forearm . . . . 3 0 3 6 1 5 Total—Upper Extremity 6 1 5 Lower „ 30 23 7 36 24 12 Table II.—Results in Relation to Injuries or Diseases for WHICH THE Operation was Performed. Lower Extremity— Number. Recovered. Died. Amputation of Thigh— For Injury— Primary ..... 2 1 1» Secondary—Gangrene following ligature of posterior tibial and luxation of knee 1 1» 0 3 2 1 — — For disease • Of knee-joint . . . . S 6 2=> After excision of knee 2 2 0 I)is**ase of knee after necrosis 2 0 2* * ilalignant disease of tibia . 2 2 0 Osteo-myelitis after amputation of leg 1 0 1‘ 15 10 5 * TJie amputntion was jierfornied for a severe comjxjuiid eommimiled fracture of Iwth bones of tlie lest, caused by a lull of about thirty feet. In nddition to the fracture tliere was a bruise and abrasion over the sacrum, and after the o]>eration lie slioweil well-inarkeil symptoms of having received injury to tlie spine. Died a week after the am|>utatiou, of pyrnmia. ’ Case fully rejiorted in Medical Timet and Gazelle, November 14, 1874. * In one of the fatal cases the patient was a girl ageil seven, affected with gela- tinous disease of the knee. I'his improved under treatment, but, as the disease retunicd again, amputation was found necessarj'. Previous to the amputation, symptoms of cerebral mischief were j'lesent, and tlie child dietl about a month after- wanls of tubercular meningitis. In the other ca.se the patient was also of an extremely jtrumous diathc.sis. anil was suffering from gelatinoi^ disease of the knee. In this case the extension pulley was used to prevent the retraction of the flaps. ■* In one case the jiatient had been suffering for ten years from carionecrosis of the popliteal part of the femur. Three weeks after admission he had bleeding from the bowels, with pain in the abdomen. After the removal of some dead bone, bleeding from the wound came on, and after several ineffectual attempts to stop it, amputation was performed. Bleeding occurred from the stump two or three days after the opera- tion, and as all attempts to check it proved unsuccessful ligature of the femoral was$