A System Of Surgery: Theoretical And Practical by Timothy Holmes. This nineteenth-century British surgical manual assembles expert opinions on deformities after fractures, including nonunion and malunion, and traumatic dislocations, detailing their pathology, diagnosis, reduction, and aftercare. It provides practical guidance on realignment strategies such as gradual extension, refracture, osteotomy or resection of angular segments, and corrective muscle or tendon procedures, with explicit indications and cautions. For dislocations, the work covers classification (simple vs compound, partial vs complete), reduction principles and techniques (extension, traction, body-weight maneuvers, and, when needed, chloroform anesthesia), and the role of immobilization or controlled motion after reduction. A core message is that reduction is the preferred initial treatment for recent dislocations, while surgical remedies are contemplated only when they substantially improve limb function. The volume also surveys broader surgical pathology of the era, including inflammation, wound healing, septic complications (pyemia), tetanus, delirium tremens, scrofula, hysteria, and related topics, reflecting a multi-author, historically grounded approach to surgical practice.
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