Injuries and diseases of the knee-joint : and their treatment by amputation and excision contrasted / by William Paul Swain.

Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Injuries and diseases of the knee-joint : and their treatment by amputation and excision contrasted / by William Paul Swain. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    The wound looked healthy; and the discharge was very free. The wound was dressed with myrrh lotion. 20th.—He slept at night without a draught. There was not much discharge from the wound, as a small sinus and opening in the popliteal space effectually drew away the discharge. September 5th.—The excision-splintj having galled him, had been left off, and the leg put up in gutta-percha splints. Two or three sinuses remained about the Imee-joint; and a gall on inner side of the knee and one on the heel, from the pressure on the splint. He got up and was dressed ; was in good spirits, and took his food well. 19th.—The patient was up and about on crutches. The wounds on the leg had not yet healed ; but they did not in- convenience him, except when dressed. A gutta-percha splint was to-day moulded to fit the whole limb. October 10th.—Three wounds on the leg still remained unhealed. There was a sinus leading to the head of the tibia, from which a thick pus, and a few days previously a small bit of dead bone, came. There was firmer union between the bones. A slight tendency of the tibia to bow out was obviated by a straight splint on the outer side of the limb. A straight splint was applied also to the under surface of the thigh and leg. He walked about on crutches. 17th.—Dead bone could be detected in the tibia; a small spiculum came away to-day in the discharge. November 19th.—All the Avounds were healed, excepting the sinuses leading to dead bone around the knee-joint. The leg was in very good position. Union was becoming firmer. The shortening was two inches and three quarters. (See Figs. 28, 29, p. 129.) Case 92.—Kosina L—, set. 42, a rather spare, sallow- complexioned woman, was admitted on the 26th May, 1868, with disease of the left knee. The patella was slightly movable. The tibia and fibula dislocated (partially) out-