The American Journal of Orthopedic Surgery, Volume 6

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American Orthopedic Association, 1908 - Orthopedic surgery
 

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Page 264 - Every change in the form and function of the bones or of their function alone is followed by certain definite changes in their internal architecture, and equally definite secondary alterations of their external conformation) in accordance with mathematical laws.
Page 285 - The early stages of growth are telescoped into each other almost indistinguishably, so that phylogenetically the embryo lives a thousand years in a day, and the higher the species the more rapid relatively is the transit through the lower stages. This law of tachygenesis may perhaps be expressed somewhat as follows: Heredity, which slowly appears as a substitute for the external causes that have produced a given series of characters, tends to produce that succession with increasing economy and speed...
Page 285 - In this process the individual in a general way repeats the history of its species, passing slowly from the protozoan to the metazoan stage, so that we have all traversed in our own bodies ameboid, helminthoid, piscian, amphibian, anthropoid, ethnoid, and we know not how many intercalary stages of ascent.
Page 85 - This wasting, which Paget calls "reflex atrophy, " " seems dependant on disordered nervous influence, and often appears proportionate to the coincident pain, as if it were due to the disturbance of some nutritive nervous centre, irritated by the painful state of the sensitive nerve fibre.''! Coincident inflammation, rather than "coincident pain," would, I believe, have better expressed the condition.
Page 158 - ... fractures. These measures not only aid the actual union of the bones, but help in the absorption of effused blood and serum, restrain if not prevent the formation of adhesions among the soft parts, and maintain the nutrition of the muscles. They therefore simultaneously hasten union and prepare the limb to return to functional use almost as soon as the bones are united. 4. Splints, and other retentive apparatus, including extension, are required more to prevent mal-union than non-union, and hence...
Page 158 - ... help in the absorption of effused blood and serum, restrain if not prevent the formation of adhesions among the soft parts, and maintain the nutrition of the muscles. They therefore simultaneously hasten union and prepare the limb to return to functional use almost as soon as the bones are united. 4. Splints, and other retentive apparatus, including extension, are required more to prevent mal-union than non-union ; and hence are called for especially where the weight of the limb or muscular action...
Page 420 - CO2 and form bicarbonate. If acids are introduced into the blood they combine with the alkalies there, forming neutral salts which are eliminated in the urine, and in this way the amount of alkali in the blood is reduced, with a consequent reduction in the capacity of the blood to carry CO2 away from the tissues; the amount of CO., in the blood sinking to as low as 2.5 and 3 per cent. (Walter). Consequently, in acid poisoning the CO, produced in metabolism accumulates in the tissues where it is formed,...
Page 475 - It was evident that the displaced fragments of a broken bone were never or hardly ever restored to their normal position, and that the so-called " setting of fractures
Page 223 - The application of the Esmarch bandage has been responsible for the occurrence of some of these cases. Usually it has been applied while operating, but in one case reported by Bernays, all four extremities were rendered bloodless for six or eight hours in the 'effort to save a patient exsanguinated by a postpartum hemorrhage, the result being that ischemic contractures set in in all four extremities with a fatal result. The clinical features of Volkmann's paralysis are as follows: Shortly after the...
Page 350 - ... have a distinctly curative action, a conclusion in which practically all observers agree. As emphasized by Irons, too much must not be expected of this method by way of marvelous cures ; its proper use is in conjunction with other general measures like rest, aspiration of joints distended with fluids, massage of the prostate, and other surgical and general hygienic treatment. The material or vaccine used for inoculation consists of suspensions of gonococci in salt solution, the organisms having...

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