Transactions of the Royal Academy of Medicine in Ireland Volume 7; Vol. I-XXXVI and XXXVII. (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1889 Excerpt: ...to hospital his injured knee was two and a quarter inches greater in circumferential measurement than the sound one, and presented the evidences of acute synovitis. At this time free movement was to be obtained between the superior epiphysis and shaft of the tibia. He remained in hospital under treatment until June 21st, when the limb being enclosed by a plaster-of-Paris splint he was allowed home. This was removed on July 31st, he having progressed favourably, and the separated epiphysis united. Subsequently he was able to walk without pain, and continued in good health until November, when he was again admitted to the hospital, owing to sudden pain and effusion into the knee-joint, which had occurred without any apparent cause. He remained under treatment for this condition until December 18th, without any relief; his temperature persisting between 100 F. and 102 F.; a hypodermic needle was now passed into the joint, which was found to contain pus. On December 28th I made an incision into the joint to the inner side of the patella, intending to drain, but found after the pus had been evacuated that the exposed portion of the condyle of the femur was covered by a Arthrectomy or Erosion of the Knee-joint, 177 vascular membrane, and that vascular fringes protruded through the opening: the incision was now extended across the ligamentum patella as in the ordinary crescentic incision for excision of the joint. When the patella was reflected the articular surfaces of the femur were found to be covered by a thick vascular membrane, while the synovial membrane elsewhere was also greatly thickened and vascular. All the implicated synovial membrane and cartilages were carefully removed by the scissors and scoop, the joint washed out with corrosive sublimate solutio...