Elkoplasty, or anaplasty applied to the treatment of old ulcers : also, a new mode of treatment for delayed or non-union of a fractured humerus / by Frank H. Hamilton.

  • Hamilton, Frank Hastings, 1813-1886.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Elkoplasty, or anaplasty applied to the treatment of old ulcers : also, a new mode of treatment for delayed or non-union of a fractured humerus / by Frank H. Hamilton. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    it, I appealed to his father, who was a worthless inebriate, to allow me to secure one of his less to his son’s, that I might make the transplantation from him. In no other way, I assured him, could he so much benefit his family. I need scarcely say that permission was never obtained, and that I have never found an opportunity of determining the practicability of my suggestions until during the last year, and in the person of the man who is now before you. The following is the report of the case, copied, in part, from the Hospital Records: Horace Driscoll, aged 30 years; Irish laborer; had the skin and flesh extensively torn from the right leg by a dirt car, on the 3rd of November, 1852. He has been in the hos- pital most of the time since then until now. The wound has nearly healed several times, but never entirely; after exercise the whole would eive way, and the ulcer agaifa ex- tend itself completely around the leg. Jnn. 21, 1S-54, I made the following operation : The patient was laid upon his belly, upon the operating table before the class. A flap of skin measuring seven inches by four was then raised carefully from the calf of the oppo- site leg, extending in depth through the cutaneous and cellnlo- adipose textures, until the fascia was in sight. Its remain- ing attachment to the body was by a broad and thick base. The hemorrhage was slight ; no vessels were tied. Lint, spread on both surfaces with simple cerate, was laid between the flap and the surface from which it had been detached, other pledgets of lint similarly covered were placed on the outer surface, while over all and around the entire limb was Wrapt a large mass of cotton batting, secured in place by a. lightly turned roller. He was then laid in bed and perfect quietude enjoined. Jan. 22.—During the night the wound has bled until the patient looks pale from the loss. The bleeding has now ceased. Feb. 4th.—Two weeks since the flap was raised. The patient has had to be sustained with beer, his appetite hav-