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Home > Medicine & Health Science textbooks > Medicine: general issues > Surgery Volume 7
Surgery Volume 7

Surgery Volume 7


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921 Excerpt: ...the articulation, a feature of great importance both as regards prognosis and treatment. However, the presence of hetnarthrosis, such as of the knee accompanying gunshot fractures of the femur, does not necessarily imply extension of the fracture into the joint, as it is quite common even in transverse fractures as high as or higher than the middle of the femur. Wounds of the bones which do not produce complete solution of continuity of the shaft are usually termed as such, the word "fracture" being reserved for the complete lesions. Sometimes the term "partial fracture" is employed, but is somewhat ambiguous. In the case of the epiphysis the term "fracture" is commonly applied to all wounds, but should be reserved for those in which the lesion amounts to separation of so important a fragment as to produce deformity or mechanical interference with function. On account of the softness and elasticity of epiphyseal bone there is little tendency to fissuration as compared with the diaphyses, and there may be extensive wounds without implication of the articulation. For the same reasons, there being less resistance to the"projectile, the latter is not so often deformed, and consequently does not cause as much damage as it otherwise might. Small wounds of the epiphyses are often difficult to detect, for the elastic outer shell of the bone snaps back, completely closing the point of entrance. Yet the injury is rarely confined to the actual path of the projectile through the cancellous tissue. Usually a diffuse hemorrhagic area surrounds its path, or there may be scattered hemorrhages at a distance from it. These, in the case of infection, may become necrotic, and as they do not communicate directly with the wound, form dangerous ...


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Product Details
  • ISBN-13: 9781231213629
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 370
  • Spine Width: 20 mm
  • Width: 189 mm
  • ISBN-10: 1231213620
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 658 gr


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