File:American practice of surgery - a complete system of the science and art of surgery (1906) (14802220543).jpg

Identifier: americanpractice03brya (find matches)
Title: American practice of surgery : a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914 Buck, Albert H. (Albert Henry), 1842-1922
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Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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a-chitic children are born of syphilitic and cachectic parents, especially mothers,but the actual relations between the two diseases are accidental rather thancausative. While syphilis of the mother may account for malnutrition of thefoetus, there is no reason why two morbid processes may not go on simultane-ously, each perhaps being tinctured by the other. From tuberculosis it is rarelynecessary to differentiate rickets, save in accounting for certain spinal curva-tures, and even here it should be rarely if ever difficult. Hydrocephalus may 352 AMERICAN PRACTICE OF SURGERY. also occur in rickety infants or children, without being necessarily attributable tothis disease, but. in the first stages, when ossification is known to be slow andthe sutures are ununited, while the skull is beginning to expand, then one maybe still in doubt. Concerning the various deformities attributable to rickets the reader mustconsult other portions of this work, for it is certainly unnecessary to reiterate
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Fig. 155.—Extreme Rachitism. Case of Louis Guillot, aged 56, of Lyon, France. (Duplay etRectus: Train de Chiruigie, Paris, 1890.) here descriptions which need to be more fully given in other chapters. Theyhave been sufficiently recounted by many, and it must here suffice to say thatcurvatures and affections of all of the bones, involving their size and shape,may be met with, and that there is scarcely any imaginable alteration which hasnot been noted. (Figs, and 156.) So far as they constitute orthopedic defects ordeformities, they are amenable to mechanical and operative treatment, to a degree NON-INFLAMMATORY AFFECTIONS OF BONES. 353 which is now both surprising and gratifying. The introduction of the generalprinciple of subcutaneous osteotomy, for instance, applicable in so many partsof the body, and in so many ways, has constituted a very distinct advance inorthopedic surgery, while the observance of an accurate aseptic technique hasmade it almost absolutely safe. A combination,

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