Railway surgery - a handbook on the management of injuries (1899) (14573031607)

Identifier: railwaysurgeryha00herr (find matches)

Title: Railway surgery : a handbook on the management of injuries

Year: 1899 (1890s)

Authors: Herrick, Clinton B. (Clinton Bradford), b. 1859

Subjects: Railroad accidents Surgery Emergencies Railroads Wounds and Injuries

Publisher: New York : W. Wood and company

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

e-amputate, in these cases, in order toreconstruct such a surface into a well-formed; clean, andhealthy stump. These, then, are some of the reasonswhy we amputate to save life. We also do these operations to preserve function. Toleave an extremity whose usefulness is beyond repair byreason of extensive loss of bone or muscle, even thoughcapable of retaining its vitality, is not good surge^.Especially is this true of injuries to the lower extremities.A foot squeezed so as to comminute the bones of the anklemay be followed by an enlarged, stiff, useless foot, whoselimitation of movement renders the person almost inca-pable of locomotion. A bad compound fracture of the leg,especiallv if encroaching upon the knee-joint, may resultin necrosis of the epiphysis or sloughing of muscle and 170 RAILWAY SURGERY. fascia, due to limited circulation, and finally in a totallyuseless extremity. In the upper extremity, this being the organ of pre-hension, we save all we can, but still amputate to save

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Pig. 70.—Proximal Portion of a Crushed Extremity, showing the ragged appearance of the tissues. function in the same way. A judicious line of amputationis always called for m surgery of the hand and fingers inorder to give the greatest motion with the least loss.Every case here, as in those which are badly crushed, is alaw unto itself to some extent. THE WHEN TO AMPUTATE. 171 Lastly, we amputate on purely conservative grounds inorder that poor men may be shortly returned to their fami-lies and work, instead of worrying through a long periodof time in a vain attempt to preserve that which has beenall the time past saving. The When to Amputate. The question of when to amputate has been alreadynoted, and should be easily comprehended when a part isirrevocably destroyed. The sooner this part is separatedfrom the body the better, at the same time taking intoconsideration the period when in that particular case therewill be the least risk of life. There are differences of opinion as to wh

gross pathology of injuries Eisenbahnchirurgie, ein Handbuch zur Behandlung von Verletzungen 1899 Buchillustrationen Transport Eisenbahnen Lokomotive Medizin medizinische Illustrationen Krankengeschichte Operation Bilder aus dem Internetarchiv

1899

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