File:Journal of the Medical Society of New Jersey (1920) (14763226324).jpg

Identifier: journalofmedical1719medi (find matches)
Title: Journal of the Medical Society of New Jersey
Year: 1920 (1920s)
Authors: Medical Society of New Jersey Medical Society of New Jersey. Transactions of the Medical Society of New Jersey Medical Society of New Jersey. Official list of fellows and members Medical Society of New Jersey. Annual report
Subjects: Medicine Socieites, Medical Tuberculosis
Publisher: Lawrenceville, N.J. (etc.) : Medical Society of New Jersey
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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dis autoginous substance only. When we putextention on the joints, of the knee or the hip,it is very important to use sufficient weight, forinstance five pounds on the knee joint is usu-ally insufficient, speaking generally, most adultknees require ten to fifteen pounds and adulthipslS pounds to 2 8 to 3 0 pounds. I have nothad any practical experience with this par-ticular operation because after doing it sixtimes on the cadava I decided that there wasnot sufficient tissue left to maintain the sta-bility of the joints, and therefore decided toleave stiff knee joints alone. Dr. Sexsmith hadmore courage and as he says, he to also fearedthe operations that the joints would lack sta-bility but that after a period of four monthsthe joints seemed to tighten up and the beauti-ful results obtained we are seeing today. An excellent feature of Dr. Sexsmiths pa-per is that he gives such clear details of theoperation. Sometimes we listen to papers inwhich the important details are left out. That
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Figure 2.—Flexion possible. was not so in his paper, and I wish to thankhim for giving the essential details, such asthe extension on the joints afterwards and thedeepening of the condyles. The latter I hadnever thought of. Murphy does not mentionit, and as Dr. Sexsmith says, it helps to holdthe joint in place. The union of the patella isone of the old bug-bears. Unless you turn thepatella inside out, you will have union again.That was Dr. Murphys idea, I believe. Dr. John X. Bassin, Chief Surgeon, X. J. Re-habilitation Commission, Newark: Dr. Sex-smiths paper is especially commendable be-cause it is so opportune at this time. Perhapsthe minute details of interposing flat joint sur-gery of the Murphy type vary with those ap-plied in the doctors knee joint cases. To myknowledge, there are but two men in this Statewho have practiced deepening of the condyles.Dr. Sexsmith is to be congratulated upon theexcellent results obtained. I would like todraw attention, digressing somewhat from

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