Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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END RESULTS OF FRACTURES.
By Major Meurice Sinclair, C.M.G., M.B., Ch.B., Consulting Orthopædist, St.
James' Hospital.
The subjoined table gives an analysis of the results of the treatment of fractures in patients who were treated at St. James' hospital, Balham, in the years 1931, 1932 and 1933, and who presented themselves for examination as to the end result. The number examined and analysed is rather more than a third of the total cases treated in the relevant period.
Site. | Age groups. | Total number of cases under review. | Temporarily incapacitated. | Permanently incapaci tated. | Remarks. | |||
---|---|---|---|---|---|---|---|---|
A1. | *A2. | A3. | ||||||
Recovery of full normal activities. | Recovery of limited activities. | Number | ||||||
Number. | Average incapacity in weeks. | Number. | Average incapacity in weeks. | |||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
Metatarsals and /or | 16 and under | 2 | 1 | 9 | _ | - | 1 | - |
phalanges | Adults | 11 | 8 | 16 | 1 | 6 | 2 | -_ |
70 and over | — | — | — | — | — | — | — | |
Tarsals | 16 and under | _ | _ | _ | - | - | - | - |
Adults | 5 | 1 | 66 | 1 | 15 | 3 | _ | |
70 and over | — | — | — | — | — | — | — | |
Tibia and fibula— into ankle joint | 16 and under | 8 | 8 | 17 | - | - | - | - |
Adults | 71 | 45 | 23 | 13 | 33 | 13 | -_ | |
70 and over | 14 | 7 | 21 | 5 | 32 | 2 | A2, walking in comfort. 1 of A3, 82, the other 83 years old. | |
shaft | 16 and under | 18 | 18 | 13 | — | — | _ | _ |
Adults | 56 | 30 | 34 | 10 | 60 | 16 | _ | |
70 and over | 5 | 2 | 25 | 1 | 52 | 2 | A2, was 82 years old. A3 (1) an amputa-tation for ulcer, and (2) a nerve lesion. | |
into knee joint | 16 and under | _- | -_ | -_ | -_ | _ | - | - |
Adults | 20 | 8 | 24 | 7 | 52 | 5 | _ | |
70 and over | — | — | — | — | — | — | — | |
Patella | 16 and under | -_ | _ | _ | _ | - | - | - |
Adults | 14 | 10 | 30 | 2 | 39 | 2 | -_ | |
70 and over | — | — | - | — | — | — | — | |
Femur— into hip joint | 16 and under | 3 | 3 | 50 | - | - | - | - |
Adults | 25 | 7 | 55 | 1 | 102 | 17 | A2, had nerve lesion superimposed. A3, two cases were mentally afflicted and two had cancer. | |
70 and over... | 11 | 2 | 80 | 9 | A 2, both had nerve lesions. The ages were 82 and 85. | |||
shaft | 16 and under | 21 | 18 | 19 | _ | - | 3 | _ |
Adults | 11 | 8 | 37 | — | _ | 3 | _ | |
70 and over | 1 | - | — | — | — | 1 | — | |
lower third | 16 and under | _ | - | _ | _ | - | - | - |
Adults | 5 | 3 | 50 | — | — | 2 | — | |
70 and over | — | - | - | - | — | — | — |
(120)