A Treatise on Fractures, Luxations, and Other Affections of the BonesDesault, P.-J. (Pierre-Joseph)
Science
A Treatise on Fractures, Luxations, and Other Affections of the Bones
Desault, P.-J. (Pierre-Joseph)
Dislocations; Fractures; Surgery
94. In as much as the organization of the os femoris, is nearly the
same in its neck and in its body, it is difficult to conceive how the
progress of nature can be different in fractures of these two parts;
why the first, in being denied the power of healing or reunion should
be, in this respect, distinguished from all other living parts of
animals, which are particularly characterized by that power, when they
have sustained a solution of continuity. Many practitioners, even at
the present day, advocate this doctrine, which is built, one while,
on the circumstance of the periosteum not being continued along the
neck of the os femoris; another while, on a belief that the head of
this bone cannot receive a sufficiency of nourishment for the work of
consolidation, in consequence of being attached to the rest of the
system, only by the round ligament, and again, on an opinion, that the
synovial fluid, by wetting the divided surfaces, prevents their reunion.
95. But is the periosteum the only agent in the formation of callus?
Modern experience has refuted this opinion, which, like many others,
will therefore in a short time exist only in the history of our errors.
Were it even true that the periosteum is here indispensably necessary,
is not its place supplied by the fold of the capsule, which surrounds
both the head and neck of the os femoris? Besides, why cannot callus
be formed by that part which has had sufficient power to accomplish
ossification, since it is universally acknowledged, that, in these two
processes, the labour of nature is nearly the same.
96. The head of the bone, separated from the soft parts, and attached
to the acetabulum by the round ligament, always receives through that
ligament a sufficiency of nutriment to enable it to live in that
cavity; for, there is no instance of its having suffered mortification
in consequence of a fracture. Why, then, should it not partake of the
properties of life, and particularly of the faculty of reunion when
placed in regular apposition with the body of the bone?
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