Surgical Treatment of Chronic Osteomyelitis in the Ulna [Silent] (Petrolagar Laboratories, 1921) скачать в хорошем качестве

Surgical Treatment of Chronic Osteomyelitis in the Ulna [Silent] (Petrolagar Laboratories, 1921)

The film opens with an X-ray showing involvement of the proximal half of the ulna which had been operated on previously. A gloved hand with scalpel cuts away the old scar from the skin of a draped arm. The soft tissue is retracted and the periosteum is gently reflected to expose the necrosed bone. The hard cortex is excised with a gouge and mallet, forceps catching the pieces as they are chiseled off. A deep, dark pocket is exposed near the proximal end and, with a curved-blade gouge, the overhanging edges are cut off. All visible disease is removed without fracturing the supporting shell of bone. A small spoon-shaped gouge is used to complete the removal of the diseased bone. The wound is swabbed with tincture of iodine. Vaseline gauze in one long strip is packed into the bone cavity by forceps. The skin is not approximated. A dressing is applied. The dressing is removed 7 days later. Forceps pull out the length of vaseline gauze from the still open arm. Post-operative X-rays show the healing bone. Learn more about this film and search its transcript at NLM Digital Collections: http://resource.nlm.nih.gov/8800376A Learn more about the National Library of Medicine's historical audiovisuals program at: https://www.nlm.nih.gov/hmd/collectio...