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Updated: May 24, 2025
When resection is impracticable, a subcapsular enucleation is performed, followed by the insertion of radium. #Pulsating Hæmatoma# or #Aneurysm of Bone#. A limited number of these are innocent cavernous tumours dating from a congenital angioma. The majority would appear to be the result of changes in a sarcoma, endothelioma, or myeloma.
The contrast between the grossly enlarged and misshapen tibia and the normal or even attenuated fibula is a striking one. Treatment is carried out on lines similar to those recommended in the acquired disease. When curving of the tibia causes disability in walking, the bone may be straightened by a cuneiform resection. Syphilitic dactylitis is met with chiefly in children.
The wounded are under canvas, the tents are not cold, and yet the ventilation is admirable. The American surgeons are far more skilful in the treatment of gun-shot wounds than their French colleagues. Instead of amputation they practise resection of the bone. It is the dream of every French soldier, if he is wounded, to be taken to this ambulance.
Operative Treatment. This consists in the removal of the affected nerve or nerves, either by resection neurectomy; or by a combination of resection with twisting or tearing of the nerve from its central connections avulsion. To prevent the regeneration of the nerve after these operations, the canal of exit through the bone should be obliterated; this is best accomplished by a silver screw-nail driven home by an ordinary screw-driver (Charles H.
Doctor Dalichamp dropped in every morning on his way to the hospital and examined and dressed the wound. As the ball had passed out, after breaking the tibia, he was surprised that the case presented no better aspect; he feared there was a splinter of the bone remaining there that he had not succeeded in finding with the probe, and that might make resection necessary.
Tardieu relates the case of a chemist who removed a large part of the mesentery with a knife, and yet recovered. Delmas of Montpellier reports the history of a wagoner with complete rupture of the intestines and rupture of the diaphragm, and who yet finished his journey, not dying until eighteen hours after. Successful Intestinal Resection.
At this stage I remember a doctor had his fingers in the wound in the shoulder and said to the others "Here is a fine chance for a resection." I did not know what that meant, but learned afterwards. When I came to myself, I looked down far enough to see a quantity of bandage wound about a stump of a leg eight inches long. My shoulder was bound up, but otherwise not operated on.
Thanks to the antiseptic system operations were performed such as the great Pirogov had considered impossible even in spe. Ordinary Zemstvo doctors were venturing to perform the resection of the kneecap; of abdominal operations only one per cent. was fatal; while stone was considered such a trifle that they did not even write about it. A radical cure for syphilis had been discovered.
When bony ankylosis has occurred with the joint in an undesirable attitude for example flexion at the hip or knee it can sometimes be remedied by osteotomy or by a wedge-shaped resection of the bone, with or without such additional division of the contracted soft parts as will permit of the limb being placed in the attitude desired.
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