Fracture of the patellaC.L. Bermingham, 1880 - 100 pages |
Other editions - View all
Fracture of the Patella: A Study of One Hundred and Twenty-Seven Cases Frank Hastings Hamilton No preview available - 2016 |
Fracture of the Patella: A Study of One Hundred and Twenty-seven Cases Frank Hastings 1813-1886 Hamilton No preview available - 2021 |
Common terms and phrases
2d Surg accident adhesive plaster admitted to Bellevue anchylosis aponeurosis April Bellevue Hospital bond of union bone bony union breaking the patella breaking the right broken buckled bursa caused COMMINUTED FRACTURE crepitus crutches direct blow DIRECT FORCE dressings ecchymosis extend farther record fell fibrous union flex foot found the fragments FRACTURE FROM DIRECT FRACTURE FROM MUSCULAR frag Fragments separated fragments were found fragments were separated half an inch Hector Cameron hypertrophied inch in length injury joint June knee-cap knee-joint leather splint left knee ligament ligamentum patellæ lower fragment Malgaigne's hooks March ments middle muscular action OBLIQUE FRACTURE pain passive motion patient plaster-of-Paris splint posterior splint quadriceps reapplied refracture right patella transversely roller rupture secured separated ½ inch separated half Sept SIMPLE TRANSVERSE FRACTURE slight splint was applied splint was removed straps surgeon swelling thigh treatment upper fragment walk
Popular passages
Page 9 - The frequency of fracture from muscular action. (3) The frequency of early joint effusions. (4) The difficulty which has constantly been experienced in securing and maintaining apposition of the fragments. (5) The great variety of methods which have been adopted, and the frequent changes made in the treatment of the individual cases; either because of their inefficiency, or because of the pain and excoriations or other more serious injuries which they have occasioned; and the equally good results...
Page 40 - ... soldier, 29 years after breaking his patella, had no trace of any kind of union of the fragments, and, while he could walk without a cane, he had some limp and could not go fast. A laborer, 17 years after breaking his patella, had the fragments separated nearly 4 inches, without any bond of union. " He cannot extend the leg by muscular action when sitting, but he can flex it to an acute angle with the thigh. Standing he can flex and extend it perfectly. In extending he turns the foot out, in...
Page 100 - ... investigations of fractures of the patella by Hamilton. He adds: A majority of these cases refuse to unite again, even by fibrous tissue, whatever means may be employed ; and the few cases of success which have come to my knowledge are confined almost entirely to those examples in which the rupture took place soon after the apparatus was removed, and in which the limb was immediately subjected to treatment. When the fragments do unite, the patients are for a long time seriously maimed, the limb...
Page 104 - Tinder no circumstances," says Hamilton, " is the surgeon justified in attempting to overcome the anchylosis by force, either with or without an anesthetic." And he subsequently adds : " In time, and generally within a year or two, the anchylosis will disappear under careful and moderate use of the limb." Hitherto we have not obtained bony union, except in rare instances. We can only hope to obtain ligamentous union: this is the rule. From time to time we obtain no union at all, a result more frequent...
Page 9 - ... early joint effusions. 4. The difficulty which has constantly been experienced in securing and maintaining apposition of the fragments. 5. The great variety of methods which have been adopted, and the frequent changes made in the treatment of the individual cases ; either because of their inefficiency, or because of the pain and excoriations or other more serious injuries which they have occasioned ; and the equally good results where the attempts to get close union have been less assiduous....
Page 9 - The large proportion of simple transverse fractures, and the infrequency of comminuted and compound fractures. 2. The frequency of fracture from muscular action. 3. The frequency of early joint effusions. 4. The difficulty which has constantly been experienced in securing and maintaining apposition of the fragments. 5. The great variety of methods which have been adopted, and the frequent changes made in the treatment of the individual cases ; either because of their inefficiency, or because of the...
Page 100 - ... tissue, whatever means may be employed ; and the few cases of success which have come to my knowledge are confined almost entirely to those examples in which the rupture took place soon after the apparatus was removed, and in which the limb was immediately subjected to treatment. When the fragments do unite, the patients are for a long time seriously maimed, the limb lacks stability and often gives way suddenly under the weight of the body. Some points in regard to the mechanics of the knee-joint...
Page 100 - ... of the original accident had elapsed, terminated very satisfactorily. But three others were not so fortunate. These cases are related in a report of some special investigations of fractures of the patella by Hamilton. He adds: A majority of these cases refuse to unite again, even by fibrous tissue, whatever means may be employed ; and the few cases of success which have come to my knowledge are confined almost entirely to those examples in which the rupture took place soon after the apparatus...