A dissertation on the inutility of the amputation of limbsBilguer, Johann Ulrich
History
A dissertation on the inutility of the amputation of limbs
Bilguer, Johann Ulrich
Amputation -- Early works to 1800
cures, where even the loss of the entire bone has been supplied by
means of a callus[53]; besides, the deformity of the limb does not
take away the total use of it[54].
FOOTNOTES:
[52] The observations of M. Muzel, p. 83. confirm my opinion, where he
says, that all those on whom amputation was performed on account of
carious bones, died in consequence of it.
[53] Such is that mentioned by Scultetus, _Armentar. Chirurgicum_,
_obs._ 81. in which we see a callus supply the place, not only of
the tibia, but also of a part of the fibula, which he had extracted,
and at the close of the cure, the patient walked without the help
of a staff.----See also the Medical Essays of Edinburgh, vol. i. p.
312.----_Ubersatzt durch D. Carl. Cristian Krausen_, _p. 51_. And the
same Essays, vol. v. p. 371. mention one much more surprizing, “for
the whole tibia of one leg came out, and the tibia of the other leg
separated in small pieces. Nevertheless the patient, who was a boy
of 10 or 11 years of age, in four months was able to walk without
crutches, with his legs straight, and continued well afterwards, and
fit for country work.” These cases are so much the more decisive in
favour of the method I employ, as the callus much more easily repairs
the fragments of bone taken away by the surgeon after an external hurt,
and where there is no morbid cause, which was very considerable in the
case I have cited.
[54] See § XXXVI.
SECT. XL.
It now remains, that I should say something concerning cancers; on
which subject I shall be brief, as it has been treated of by very able
hands[55]. If the complaint be recent, the constitution good, if
internal medicines and outward applications have produced no effect,
the vitiated part must be extirpated before the disease takes root, and
communicates the infection farther. But the greater number of those
who have the misfortune to be attacked with this disease, putting off
the amputation from time to time, it happens when they do resolve on
it, either that it accelerates their death, or the humour falls upon
another part: For this reason, the operation for extirpating it, should
be performed much more seldom than it is[56]; and it were greatly to
be wished, that physicians would endeavour to find out some remedy for
this horrid disease, without having recourse to amputation; but it is
not my intention to dwell on this topic.
FOOTNOTES:
[55] See the Dissertation of M. Kattschmied, on this subject.
Public-domain text, read in full here on John Shaqi.
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