History, Modern -- 19th century; Nineteenth century
In very many cases the bones are deformed as a result of rickets, and
in some cases in consequence of hip-joint disease. In such cases the
leg is crooked or flexed, and cannot be used for walking. Such cases
of stiff joints and crooked legs are now operated on, one might say,
wholesale. At the International Medical Congress, held in Copenhagen in
1884, Professor Macewen, of Glasgow, reported 1800 operations on 1267
limbs in 704 patients, in which he had sawn or chiselled through the
bones so as to fracture them, placed them in a straight position, and
after a few weeks the bone has become consolidated and the leg or arm
made straight. Every one of these operations was successful, excepting
five cases, and even these deaths were not due to the operation, but
to some other disorder, such as an unexpected attack of pneumonia,
diphtheria, or scarlet fever.
_Surgery of the Head and Brain._—In the surgery of the head we find
one of the most remarkable illustrations of the modern progress of
surgery. Fractures of the skull have been the most dangerous and fatal
of accidents until within a short time. Of course, many of them must
necessarily, even now, be fatal, from the widespread injury to the
bones and the brain. But our modern methods, by which we can disinfect
the cavities of the ear, the nose, and the mouth, with which these
fractures often communicate, and through these avenues become infected,
are so successful that such cases, instead of being looked upon as
hopeless, are in a majority of instances followed by recovery. Even
gun-shot wounds, in which the ball may remain inside the cavity of the
head, are successfully dealt with, unless the injury produced by the
ball has been necessarily fatal from the start. Fluhrer, of New York,
has reported a very remarkable case of gun-shot wound, in which the
ball entered at the forehead, traversed the entire brain, was deflected
at the back of the skull, and then pursued its course farther downward
in the brain. By trephining the skull at the back he found the ball,
passed a rubber drainage tube through the entire brain from front to
back, and had the satisfaction of seeing the patient recover.
Public-domain text, read in full here on John Shaqi.
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