Sur l'amputation tibio-tarsienne.

Roux, Jules, 1807-1877.

Journal : Archives de médecine navale ; vol. iv.

Paris : J-B Baillière et Fils, 1865.

Description : 241-252 p., [2 l.] pl. ; ill.: 2 phots. ; 22 cm.

Photographs : 2 mounted albumens of the amputation and orthotic boot, the first with the boot off, second with it on.

Photographer : Joseph-Hippolyte-Édouard Malespine (1824-).

Subject : Ankle-joint — Amputation ; osteomyelitis.

Notes :

Les photographies que je fais passer sous vos yeux et que vous pourrez conserver, serviront à mieux vous rappeler les particularités de l'amputation tibio-tarsienne et les détails de la bottine-pilon a laquelle je donne la préférence.

Les développements qu'ont reçus dans notre école les études photographiques sous l'impulsion de M. Fontaine, 1er pharmacien en chef, m'ont permis d'ajouter à mes descriptions cet utile complément que je dois au zèle de M. Malespine, pharmacien de 2e classe, qui, pour obtenir ces nombreuses épreuves, a déployé la plus grande activité.—Page 252.

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The internal plantar flap technique, advanced by Roux in 1848, was derived from Syme's method for amputation of the foot, but left a pad large enough to support the weight of the body. Before these two great surgeons, medio-tarsal amputation by Bauden's method was followed, rendering the stump useless for walking. Dr. Stanley Burns (1998) reproduced one of Malespine's images (plate 2) in his book, A Morning's Work and observed that tuberculosis had probably caused the destruction of the joint. The subject was a 35 year-old coppersmith who worked for the navy, and although Roux favored disarticulation to treat bone caries, in this case he discusses his reasons for amputation. Soldiers wounded in the French-Italian wars were sent to Toulon for treatment and the highly decorated Roux became the international authority on osteomyelitis complications from gunshot wounds.

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