Nerve-suturing, neurorrhaphy, nerve-grafting / by De Forest Willard.

  • Willard, De Forest, 1846-1910.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Nerve-suturing, neurorrhaphy, nerve-grafting / by De Forest Willard. 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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    of one year in 3 cases. Slight improvement is also notedin several cases at the end of two and three months, and in other cases complete return of motion and sensa- tion is recorded at the end of one week, eighteen days, two months, three months, six months, ten months, and one year respectively. Negative results are given in 2 cases. Sensation is reported normal at the end of two years in 3 cases ; in 1 case at the end of four months. Four cases are reported as well in two years, 5 at the end of five years, and 5 at the end of three years. In 14 cases motion and sensation are noted as good. Secondary suture. A review of the extensive and valuable tables made for me by the indefatigable efforts of Dr. John H. Rhein shows that of 130 cases of second- ary suture the median nerve was involved 35 times ; the ulnar, 34; the median and ulnar, 20; the musculo- spiral, xo; the brachial plexus, 1 ; the fifth cervical, 1 ; the radial, 29; the sciatic, 6; the popliteal, 1 ; the ex- ternal popliteal, 2; the posterior tibial, 1 ; the perineal, 1; the posterior inter-osseous, 1. As might be expected, there is a preponderance of males, as they are much more subject to accident. There are noted of males 98, of females 31. The character of the accidents is as follows: from sharp instruments, 96; from dull ones, 5 ; from gunshot- wounds,6; asaresultof nerve-injury during operation, 3. The character of the suturing material used was cat- gut in 47 cases; kangaroo-tendon in 14; silk in 10; horsehair in 6 ; silver wire in 2 ; decalcified bone in 1. The time of operation after injury was fifteen days in 12 ; one month in 15 ; two months in 19; three months in 14; six months in 19; nine months in 20; two years in 10; six years in 1 ; nine years in 1. The return of sensation is definitely recorded only in a few cases. This was noted on the next day after operation in 12; several days afterward in 17 ; within the first two weeks in 21; after one month in 19; after three months