Amputation; Artificial limbs; Orthopedics; Surgery, Military
But although we may admit the general truth of these statements it
would be wrong to assume that modern scientific knowledge was, on the
outbreak of the war, immediately useful to those to whom the wounded
were to be confided. Fixed principles existed in all the sciences
auxiliary to the work of the surgeon, but our scientific resources
were not immediately available at the outset of the great campaign;
scientific work bearing on wound problems had not been arranged in a
manner adapted to the requirements, indeed the requirements were not
fully foreseen; the workers in the various fields were isolated, or
isolated themselves pursuing new researches rather than concentrating
their powerful forces upon the one great quest.
However brilliant the triumphs of surgery may be, and that they have
been of surpassing splendour no one will be found to deny, experiences
of the war have already produced a mass of facts sufficient to suggest
the complete remodelling of our methods of education and research.
The series of manuals, which it is my pleasant duty to introduce to
English readers, consists of translations of the principal volumes of
the "Horizon" Collection which has been appropriately named after the
uniform of the French soldier.
The authors, who are well-known specialists in the subjects which they
represent, have given a concise but eminently readable account of
the recent acquisitions to the medicine and surgery of war which had
hitherto been disseminated in periodical literature.
No higher praise can be given to the Editors than to say that the
clearness of exposition characteristic of the French original has not
been lost in the rendering into English.
MEDICAL SERIES
The medical volumes which have been translated for this series may be
divided into two main groups, the first dealing with certain epidemic
diseases including syphilis, which are most liable to attack soldiers,
and the second with various aspects of the neurology of war. The last
word on _Typhoid Fever_, hitherto "the greatest scourge of armies
in time of war," as it has been truly called, will be found in the
monograph by MM. Vincent and Muratet which contains a full account
of recent progress in bacteriology and epidemiology as well as the
clinical features of typhoid and paratyphoid fevers. The writers
combat a belief in the comparatively harmless nature of paratyphoid
and state that in the present war hæmorrhage and perforation have been
as frequent in paratyphoid as in typhoid fever. In their chapter on
diagnosis they show that the serum test is of no value in the case of
those who have undergone anti-typhoid or anti-paratyphoid vaccination
and that precise information can be gained by blood cultures only. The
relative advantages of a restricted and liberal diet are discussed
in the chapter on treatment, which also contains a description of
serum-therapy and vaccine-therapy and the general management of the
patient.
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