Diseases of the hip, knee, and ankle joints : with their deformities, treated by a new and efficient method / by Hugh Owen Thomas.

  • Thomas, Hugh Owen, 1834-1891.
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the hip, knee, and ankle joints : with their deformities, treated by a new and efficient method / by Hugh Owen Thomas. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    80/406 (page 66)
    explained in plate 13, figs. 2 and 3. Commencing by Sayre's semi-lunar incision through the soft structures, exposing the bone ready for the saw, and then taking a fine-bladed keyhole saw, I removed the top of the great trochanter, leaving it attached to the rotator muscles; then passing my finger into the depths of the wound, and feeling for the lesser trochanter, I placed the saw on the front aspect of the femur, just above the lesser trochanter, and sawing through the bone, I easily removed the head and neck and a portion of the shaft (as seen in fig. 3, plate 13). I found the head of the femur carious, with perforation of the acetabulum, through which about ten ounces of pus escaped. The operation was successful in tem- porarily relieving the constitutional irritation, but did not arrest the drain and increasing depression, and the patient succumbed in twenty days after the excision. In this case the operation was imperatively demanded, and I was prepared for. a very extensive amount of disease, as the patient had had no rational