قراءة كتاب Surgery, with Special Reference to Podiatry
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SURGERY
WITH SPECIAL REFERENCE TO
PODIATRY
BY
MAXIMILIAN STERN, M.D.
AND
EDWARD ADAMS, M.D.
Professors of Surgery at the School of Chiropody of New York
EDITED BY
MAURICE J. LEWI, M.D.
President of the School of Chiropody of New York
THE SCHOOL OF CHIROPODY OF NEW YORK
213-217 WEST 125th STREET
NEW YORK
It is intended to publish a series of books which will constitute a complete SYSTEM OF PODIATRY, comprising the entire range of subjects essential to a comprehensive knowledge of the theory and practice of Chiropody and all that is or should be known by the practising chiropodist, or that should be taught to the student of Chiropody.
The present volume, “Surgery,” is the first of this series and will be followed by “Practical Chiropody,” “Chiropodial Orthopedics” and other volumes on subjects of major interest and of vital importance to all interested in Podiatry.
CONTENTS
| CHAPTER | PAGE | |
| Preface | ix | |
| I | Introduction | 1 |
| II | Surgical Bacteriology | 6 |
| III | Asepsis and Antisepsis | 18 |
| IV | Inflammation | 28 |
| V | Wounds and Contusions | 39 |
| VI | Hemorrhage | 51 |
| VII | Burns, Frost Bite, Etc. | 56 |
| VIII | Fistulae; Fissures; Sinuses; Abscesses; Furuncles; Ulcers | 64 |
| IX | Diseases of Joints—The Serous and Synovial Membranes | 82 |
| X | Diseases of the Bones | 99 |
| XI | Diseases and Injuries of the Arteries and Gangrene | 118 |
| XII | Diseases of Veins | 125 |
| XIII | Special Forms of Inflammation | 130 |
| XIV | Verruca (Wart), Callosity, Heloma (Corn or Clavus), Diseases of the Nails—Ingrown Nail | 139 |
PREFACE
THIS volume is intended to serve as a guide to the diagnosis and to the treatment of the diseases and conditions of the body in general, in their relation to the foot, as well as to those conditions which primarily affect this member.
Much of the matter herein contained might be regarded as beyond the scope of Chiropody; this, however, is a fallacy not more applicable to Chiropody than to any other specialized branch of Surgery requiring a knowledge of the physiologic and pathologic processes at work in the production of disease.
The advances made in this branch of Surgery have long since translated it from the realm of empiricism to the field of rationalism. Treatment based primarily on the results of experience or observation must give place to a system based upon a knowledge of abnormal conditions and the resultant changes in the tissues. Such knowledge elicits treatment directed definitely against these processes. It is obvious that this can be accomplished only through the agency of certain definite manual and therapeutic measures, the physiologic actions of which are well understood and known to be reliable.
Much stress has been laid upon the subject of asepsis and antisepsis. The foot is peculiar in that conditions surrounding it are especially congenial to the development and multiplication of bacteria. Modern surgery has been built upon the recognition of the rôle of bacteria in the behaviour of wounds, and the greatest hazard to successful surgery lies in the ever-present possibility of bacterial invasion. Surgical safety, however, can be secured by the employment of a perfect technic for asepsis. Once the precept is established that the operative field must be asepticized and thereafter protected from contact with any