Licence: Public Domain Mark
Credit: Exsection of the hip-joint / by C.T. Poore. 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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![men in his urine. Appetite good. Is taking cod-liver oil and iron. On May 30th, I)rs. Watts and Mason assisting, the patient was etherized, and the head of the femur removed, the hone beinijj divided just above the trochanter minor. The shaft of the fennir at this point was perfectly healtliy. The wound was stuffed with lint and extension applied. The head of the bone was found much eroded, especially at its inferior part, and the acetabulum was extensively dis- eased and perforated. The patient did well, and the wound was closed by the first of September, except a small sinus, from which there is a thin, watiery discharge; no exposed bone can be detected. A long splint was applied, and patient allowed to go about. He was discharged November 11, 1873, wearing a shoe with a high sole. He can bear his whole weight on the limb, and Las considerable motion at the hip-joint. He walks without a crutch. All the sinuses have closed. Itemarka.—It will be noticed that in this case the disease was confined to the bones immediately forming the joint; that the shaft of the femur at the point of section was perfect- ly healthy; that there was a sinus ahove Poupart's ligament, and that the acetabulum vf2i?, perforated. Also, that the first abscess opened on tlie inner surface of the thigh near the peri- n£eum, and that the head of the bone showed most disease at its inferior part. Case II.—John II., aged six years, was admitted into St. Mary's Hospital, January 10, 1874. He has had disease of the left hip-joint for two years, following a fall. He has been treated by extension by means of a weight and pulley. Al>out one year before admission an abscess formed on the anterior aspect of the left thigh, and was freely opened; later, another formed on its inner aspect near the perinseum. He walks with a crutch, and sufiers considerable pain. On examination sinuses are found as above, the discharge from which is con- siderable. ]S^o exposed bone can be detected, nor is there any crepitus on motion at the joint, even when the head](https://iiif.wellcomecollection.org/image/b21210640_0010.jp2/full/800%2C/0/default.jpg)
