United States or Guinea ? Vote for the TOP Country of the Week !
Where the capsular ligament is perforated and the condition becomes one of open joint, then a special wound treatment becomes necessary. The surface of the skin is first freed from all hair and filth in the vicinity of the wound. The wound proper is cleared of all foreign material either by clipping with the scissors, curetting or mopping with cotton or gauze pledgets.
Bloodgood advises the use of Esmarch's tourniquet, and that the curetting be followed by painting with pure carbolic acid and then rinsing with alcohol; a rod of bone is inserted to fill the gap. In advanced cases the segment of bone is resected and a portion of the tibia or fibula from the other limb inserted into the gap; a tube of radium should also be introduced.
The only difference in the treatment of these cases is that more time and care is taken in cleansing the wound, more curetting is necessary, and after cleansing the wound with peroxide of hydrogen, the joint is thoroughly washed out with equal parts of tincture of iodin and chloroform.
Word Of The Day