Archibald Young

Operative treatment of fractures.

The operative treatment of fractures is increasingly gaining ground in accident surgery, where it is replacing conservative treatment since atraumatic operative techniques, corrosion resistant metal implants, improved instruments, and better knowledge of the healing of fractured bones have been attained. Operative treatment has become more acceptable to the surgeon by his better training, to the patient by his greater understanding.

DISLOCATION OF THE METATARSUS, WITH AN ACCOUNT OF THREE CASES

Oil opening the abdomen, it was noted that the pelvic colon was densely adherent to the anterior and left lateral surface of the rectum at the bottom of Douglass pouch. Separation from the u-terus was regarded as an unsafe procedure, so this organ was also removed. On examination of the 12 in. of excised bowel the presence of two growths was revealed, though only one had been diaganosed. These were located on the bowel walls at the site of adhesion. The upper growth, in the pelvic colon, was of the wvhipcord type, and had completely encircled and constricted the bowel wall, giving rise to the symptoms of obstruction for which the patient was admitted to hospital. The lower growth, in the rectum, presented itself as a carcinomatous ulcer involving the anterior and left lateral walls of the bowel. It is difficult to escape the conclusion that the upper was the older growth and that the lower one had arisen as a result of contact.

A PLEA FOR THE ADOPTION OF A MORE ACCURATE AND SCIENTIFIC METHOD IN THE INVESTIGATION AND TREATMENT OF LATERAL CURVATURE OF THE SPINE, WITH DESCRIPTION OF A SIMPLE FORM OF GAUGE

IN THE INVESTIGATION AND TREATposing them. The lower edge of the central frame is graduated for a special object, and it is found more convenient to. MENT.,OF LATERAL CURVATURE keep it horizontal. The frame is of brass, light but strong, OF THE SPINE, composed of two thin* skeleton pieces firmly rivetted together, and grooved for the reception of the two limbs of WITH DESCRIPTION OF A SIMPLE FORM OF GAUGE. the instrument. The limbs are of thin, flexible, but resilient