Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First PublishedMacilwain, George
Science
Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First Published
Macilwain, George
Abernethy, John, 1764-1831; Physicians -- Great Britain -- Biography
His proposal to add to the treatment of the diseases of joints
the apparatus of splints, for ensuring absolute quiescence of the
affected surfaces, has saved a most incalculable number of limbs from
amputation. It here becomes necessary to repeat a remark we have made
in a former work. Sir B. Brodie recommends this plan only in the
third edition, I think, of his discriminative work on the joints, not
appearing to have been aware that Abernethy taught it for nearly thirty
years previously, about ten years of which we ourselves had repeatedly
tested its great value, and taught it, but contemporaneously from
Abernethy, in our own lectures. Indeed, so important an element is it
in the treatment of diseases of the joints, that we have never seen it
fail, when fairly applied and accompanied by a reasonable attention to
the general health, except in the following cases: First, when the
patient has been nearly worn out by disease, before being subjected to
treatment; and, secondly, where the complaint has been proved to be
accompanied by internal organic disease.
We have always thought that one of the most valuable of our obligations
to Abernethy was his lesson on fracture of the neck of the thigh bone
within the capsule of the joint. For thirty years, Sir Astley Cooper
taught, and boasted that he had taught, that this fracture could not
unite by bone; Sir Astley reasoning on the anatomy of the part _only_,
and conceiving that the neck, in its somewhat isolated position,
would be imperfectly nourished; and, seeing that, in point of fact,
this fracture _did generally_ unite by ligament only, unfortunately
adopted the foregoing idea as the _cause_ of the fact, and concluded
that bony union was impracticable. Experiments on animals—at all
times extremely fallacious, in this case singularly imperfect in the
analogy they afforded—appeared to confirm his views. Despairing of
effecting a proper union, he adopted a treatment which rendered it
impossible. Abernethy's beautiful reasoning on the subject led him to
an opposite conclusion. It embraced certain views of Hunter's, and some
common phenomena in other accidents where the union by ligament is
_coincident_ with _motion_ of the part. He therefore treated all cases
with a view to secure bony union; and he and many of his pupils had no
doubt but that they had seen examples of its success. Still, people
got well and were lost sight of, and therefore it was said that the
fracture was not _wholly_ within the capsule of the joint. At length
a specimen was procured from the examination of a dead body, and the
question set at rest, we believe, in the minds of every body, that
this fracture, though it require especial care to keep parts steady
and in apposition, will unite just like other fractures in the way
taught (and since proved) by Abernethy. Let those who can calculate the
number of surgeons who have been educated by these two gentlemen, and
Public-domain text, read in full here on John Shaqi.
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