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August 13, 1892

IS AMPUTATION EVER INDICATED IN COXITIS?Read in the Section of Surgery and Anatomy, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June 8, 1892.

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JAMA. 1892;XIX(7):192-193. doi:10.1001/jama.1892.02420070016001c

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I have no intention of describing the methods and dangers of amputation in the hip-joint, but simply to inquire into its indications in coxitis. That it has often been done we may learn from the table in the International Encyclopedia of Surgery. 276 had the operation done on account of disease, 65 of which, at least, had coxitis and many of which had been previously resected. Ashhurst gives a table of 34 cases of primary and 31 cases of secondary amputations for coxitis (probably the same 65 cases mentioned) with a mortality of 31· per cent. He states that the mortality is almost exclusively due to constitutional conditions and very little dependent upon the management of the wound.

Primary amputation for coxitis will, of course, be abandoned as surgeons, little by little, learn the indications for-excision and also, that done at the proper time, this operation is not dangerous and

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