Excerpt from The Medical News, Vol. 12
Tetanus resulted, and death took place on the eleventh day. Of the cases still in a doubtful condition, both are amputations of the thigh, one primary, the other secondary. In the latter, the patient, an Irishman, obstinately refused at first, although bis knee joint was laid open, to have the leg removed. After a month's delay, during which the joint had become utterly disorganized, and the health of the patient severely reduced, the operation was performed. The case is under the care of Mr. De Morgan, in Middlesex Hospital, and has progressed since the amputation more favourably than could have been expected. Of the nine which are recovering, three are amputations of the thigh, two for diseased knee-joints, and one a third operation, on account of a painful stump, the former ones having been below the knee; one of the leg, for a very large and inveterate ulcer, the persistence of which was seriously undermining the strength of the patient; one at the shoulder-joint, for compound fracture, with much crushing of the arm, under the care of Mr. Solly, in St. Thomas's Hospital. Three of the forearm ; one for the effects of phlegmonous erysipelas, one for strumous disease of the carpus, and one primary for compound fracture; one primary amputation of the whole hand, excepting the thumb.
Excision of Bones, Joints, etc. - The cases reported last month continue under care. A partial excision of the elbow-joint has been performed by Mr. Solly, on a young man in St. Thomas's Hospital, who had suffered from scrofulous inflammation of the joint. The case is doing favourably Resection of the wrist joint has been twice performed, and both patients are thus far doing well. In the first case, under the care of Mr. Erichsen, in University College Hospital, the heads of the radius and ulna, and the first row of the carpal bones, were removed. In the second, under the care of Mr. Fergusson, in King's College Hospital, the heads of the radius and ulna, and the whole of t he carpal bones. Excisio n of the superior maxilla has been practised twice, and with very favourable issue in each case. In the first, under the care of Mr. Stanley, in St. Bartholomew's Hospital, the whole bone, with the exception of its nasal and orbital processes, was removed on account of a fibroid tumour, which had returned after a former excision. In the second, the disease requiring it was a tumour of suspectedly malignant character within the antrum; the operation was performed by Mr. Hancock, in the Charing-cross Hospital. In the same Hospital, the excision of parts of a diseased metatarsal bone has been successfully performed by Mr. Avery. Five important gouging operations have been done during the last month, in each case in the hope of avoiding the amputation of the affected member. In two of them, on account of extensive carious disorganization of the head of the tibia, a procedure in each nearly precisely similar has been adopted, and the whole of the softened cancellous bone, to within a very little of the articnlar cartilage, was freely scooped out. The patients are severally in King's College and Guy's Hospitals, and under the care of Messrs. Fergusson and Hilton. In Mr. Fergnsson's case the progress has been hitherto satisfactory, but in the other a sharp synovitis of the knee joint set in on the seventh day, and has since continued. In three cases, gougings of the os caleis, on account of carious disease, have been performed. In one. which occurred in St Bartholomew's Hospital, Mr. Stanley was fortunate enough to discover and remove a small fragment of perfectly-detached dead bone, which had been closely encased in the centre of the affected calcaneum, and of the looseness of which no evidence had been afforded by the previous probings. In a fourth case, almost the whole of a much-diseased oscalcis was removed by Mr. Holt, in the Westminster Hospital. The case was at first doing very well, but recently gan. Это и многое другое вы найдете в книге The Medical News, Vol. 12 (Classic Reprint)