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Patient 81/1
Patient 81/1 was admitted to Stannington for a fourth time in December 1938 with initial notes stating he had been recommended for an osteotomy procedure prior to his previous discharge in December 1937.
An osteotomy, known as 'bone cutting', is an arthroplasty surgical procedure whereby the bone near a damaged joint is cut and repositioned to adjust the load-bearing of the joint and to correct any deformities. With this patient an osteotomy was carried out on both proximal femurs as a means of creating a false joint to relieve pain and restore function to the joint. An osteotomy is noted to have only taken place once the tuberculosis had been in quiescence for some time.
Prior to surgery the patient's x-ray report notes that:
"Bony union on right suitable for arthroplasty. Left also good bony union in abducted position."
The patient received an osteotomy on the right leg in February 1939 followed by further arthroplasty on the left leg in June 1939. His x-ray report notes state that the 'right osteotomy slipped up' prior to the second procedure taking place resulting in elongation of the femoral head and neck. The left osteotomy was considered a success with notes reading:
"Osteotomy left femur satisfactory the false joint can be seen quite well."
The patient was put into a shaft plaster following the procedure. He is noted to have made good progress and was walking and getting around by the time he was discharged as quiescent in January 1940.
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