LECTURE V.

Removal of the head of the femur, dislocated in consequence of

strumous disease, or for fracture of the head or neck of the bone,

caused by an external wound; cases most favorable for the operation;

anatomical description of the operation; the operation on the dead

body; commencing for the removal of the head of the bone: completing,

by amputation of the thigh at the hip-joint, the injuries being such

as to require that operation; ligature of a great artery, close to a

large branch, successful; completing the operation for the removal

of the head of the femur; case of removal of the head of the femur;

wounds of the knee-joint from musket-balls, with fracture of the bones,

require immediate amputation; secondary amputation does not offer such

a chance of success; compound fractures of the patella without injury

to other bones; the joint involved; lodgment of the ball in the joint;

the ball penetrating the condyles of the femur; wound of the popliteal

artery; cases for amputation; clean incised wounds of the knee-joint;

case of Colonel Donnellan; excision of the knee-joint; formerly rarely

successful; Mr. Jones, of Jersey, mode of operating; Dr. Gurdon Buck’s

case of excision of the knee-joint, for anchylosis, following a gunshot

wound; Mr. Jones’s improvement of the operation; amputation of the

leg; by the circular incision; the flap operation, as performed by Mr.

Luke; amputation at the tuberosity of the tibia: removal of the head

of the fibula; excision of the ankle-joint; removal of the os calcis;

Mr. Syme’s amputation at the ankle-joint; sloughing of the under flap,

and its causes; gunshot wounds of the foot; wounds of the fore part of

the foot by cannon-shot, grape-shot, or musket-balls; amputation at the

tarsus of the foot, leaving the astragalus and os calcis; operation

for the removal of the astragalus and os calcis by Mr. Wakley, jun.;

necessary not to wound the anterior tibial artery; amputation of a

single metatarsal bone; M. de Beaufort’s artificial foot. pp. 90-120

Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. · 第 13 / 129 题