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Practitioner (Volume 56)

Practitioner (Volume 56)


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: the acetabulurn was sufficiently deepened with a curette. In his later cases, however, Hoffa has endeavoured to spare the muscles as much as possible, and in the Arcldv fiir Id in. Chirurgic, Bd. li., 1895, he gives the results obtained in 112 operations performed on eighty-two patients, in thirty of whom the dislocation was bilateral. In all, there were seven deaths: three from intcrcurrent diseases (pneumonia, intestinal catarrh, and diphtheria), three as the direct effect of prolonged operations in young children, and one possibly from iodoform poisoning. The last forty- seven operations were performed without a single accident. In nine cases ankylosis occurred, and in eleven there was recurrent dislocation. In the remaining cases the results were satisfactory and the improvement steadily increased; the affected limb was lengthened, and in the bilateral cases the lordosis and waddling gait were much lessened. Lorenz (Sinnmlunrj Id In. Vortriijfe, No. 117, 1895, and Annals of Sun/cry, 18f)5, vol. i. p. 727) regards the preservation of the muscles intact as a most essential part of every operation in these cases, and believes that the muscles inserted into the trochantcrs, being lengthened and not shortened, offer no resistance to the reduction of the dislocation. In the least severe cases an assistant makes traction on the limb in a slightly abducted position. The joint is then exposed through an. incision along the onter border of the tensor vaginre femoris, commencing at the anterior superior spine of the ilium. The capsule is opened in front, the acetabulum gouged out, and the head of the femur placed in it. In more difficult cases extension is obtained by means of screw apparatus at the foot of the table. After the operation the limb is fixed with plaster of Paris in a sligh...


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Product Details
  • ISBN-13: 9780217788854
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 244
  • Spine Width: 13 mm
  • Width: 189 mm
  • ISBN-10: 0217788858
  • Publisher Date: 01 Oct 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 440 gr


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