Page 90 (images) |
Previous | 116 of 553 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
90 NORTH CAROLINA MEDICAL SOCIETY of the skull, as compared with that of a long bone, I cannot explain; the growth of the grafted bone in both instances would be in no way inhibited. "The graft should be living, free or pedunculated, with as much periosteum covering as possible, and also containing endosteum and marrow, and the graft should be autogenous; that is, taken from the patient who is to be grafted. It seems certain that if the graft be made according to these rules nothing further is necessary to insure success, save the attainment of asepsis and the maintenance of immobilization." (McWilliams.) Case I. A man thirty-five years old, whose head was severely crushed in a'railway accident six years previously. At this time the head was Fig. 4 (Brenizer).—This is a picture of Case II two weeks after the operation and of the site of the old skull defect filled in by the graft from the patient's left tibia. trephined and some bone splinters removed. Shortly after this he developed "spells," when he would lose consciousness, and "spasms," mostly on the opposite side. Speech slow; apperception dull. There was a large depression over the left side of the skull, the soft parts drawn down tight, and the bone deficient over an area about 4 cm. x 6 cm. The soft parts were loosened up, the scar tissue removed, the callus around the edges cut away and the edges beveled at the expense of the outer table. Into this defect was grafted a rectangular bone shell taken from the tibia, cut and beveled to fit. A few stitches were placed to unite the periosteum of the graft with that of the skull and the wound closed. The graft was covered with periosteum and was cut just to the marrow
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1916 |
Identifier | NCHH-16-063 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 63 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-063.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-063 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Description
Fixed Title * | Page 90 (images) |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1916 |
Identifier | NCHH-16-063-0120 |
Form General | Periodicals |
Page Type | all; all images; photo; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactionsofme63medi_0120.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 63 |
Page Number | 90 |
Health Discipline | Medicine |
Full Text | 90 NORTH CAROLINA MEDICAL SOCIETY of the skull, as compared with that of a long bone, I cannot explain; the growth of the grafted bone in both instances would be in no way inhibited. "The graft should be living, free or pedunculated, with as much periosteum covering as possible, and also containing endosteum and marrow, and the graft should be autogenous; that is, taken from the patient who is to be grafted. It seems certain that if the graft be made according to these rules nothing further is necessary to insure success, save the attainment of asepsis and the maintenance of immobilization." (McWilliams.) Case I. A man thirty-five years old, whose head was severely crushed in a'railway accident six years previously. At this time the head was Fig. 4 (Brenizer).—This is a picture of Case II two weeks after the operation and of the site of the old skull defect filled in by the graft from the patient's left tibia. trephined and some bone splinters removed. Shortly after this he developed "spells" when he would lose consciousness, and "spasms" mostly on the opposite side. Speech slow; apperception dull. There was a large depression over the left side of the skull, the soft parts drawn down tight, and the bone deficient over an area about 4 cm. x 6 cm. The soft parts were loosened up, the scar tissue removed, the callus around the edges cut away and the edges beveled at the expense of the outer table. Into this defect was grafted a rectangular bone shell taken from the tibia, cut and beveled to fit. A few stitches were placed to unite the periosteum of the graft with that of the skull and the wound closed. The graft was covered with periosteum and was cut just to the marrow |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-063.pdf |
Document Sort | all; group-d; nchh-16 |
Article Title | Total Bone Grafts Into Skull Defects |
Article Author | Addison G. Brenizer |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-063 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Tags
Comments
Post a Comment for Page 90 (images)