Show THE ALBEE OPERATION Science In iii surgery and medicine Is steadily malting making gain In the tho battle battle bat bat- tle against and deformity One or of the most useful and at the marvelous operations invented in recent of or the tho most time samo o one years Is Sown known n n. the tho Albee operation It was fl first t P performed mcd by Dr Fr Fred d H H. H of ot New York Fork ft a wizard In cases of ot bone trouble operation the hunchback Is corrected A Apiece Apiece In T this this' operation the deformity of or the tho corrected called the shin bone the tibia commonly from sawed of bone Is piece M the tho backbone It t and holds the and alid used splice along I as a Correct Jiving affected b by tuberculosis of or orthe spin Sin In correct position giving the tho vertebrae I bone chance to become healing again I the n. n Tl Lake who has been n studying surgery at Northwestern Northwestern Northwestern North- North Mr ot of S Salt c. c western university In Chicago witnessed one of the Albee operations at western A. A J. J Holy Cross CroM hospital a a. few days day ago aKO It was performed b by Dr no Hosmer mer assisted by Dr A A. A J J. J Murphy Mr Pomeroy has hns written n. n T Telegram readers and wo we publish It In inthe description of the tho operation for believe belief the the Albee operation th the te Interest of ot science and humanity as wo we I human Editors Editor's e. Editors Editor's 8 note has proved Another nother boon to the r race I from congenital defects defects de de- ASIDE at birth and malformations malformations malformations caused by external violence violence vio vio- lence lend I such such as fractures on dislocations dislocations dis dis- dis- dis locations the commonest origin of at tho the hunchback lies lloa In tho the activity of ot tho microscopically small tuber tubercle l bacillus which I Is essentially tho same organism that produces tuberculosis of ot the lungs or what is popularly kno known n as consumption Science J I t t t t 1 fn w j l r i l' l 4 r rhese r illustrations show first at the left how the spine spin shape shapes up naturally naturally naturally ally second in in the center how a hump comes on the back when the vertebrae become diseased with tuberculosis of the bone and third in inthe inthe the thc right hand drawing how tho trouble is corrected by the Albee op op- cr oration tion wherein a piece of bone is taken from the shin hin and used for L' L straightening the spine pine finds these germs much more commonly commonly com corn mealy distributed throughout the tho hu human human human hu- hu man man body than was formerly ever suspected autopsies or operations after d death nth showing that as high as fifty per cent cont of ot the tho people who have idled died d from other causes have suffered p perhaps unknowingly unknowing from some form torm of of oft this Infection during their life but whose bodily resistance and na natural na- na tut tural l' l protective forces have successfully successfully success success- fully tully combated the Invading host l leaving avin as evidence of the struggle only n n. few te scars scattered variously throughout the thc internal organs of the body So when these thue germs In Invade invade in- in vade ade the human system the they may mayhe mayhe mayhe he pre present ent in the blood stream or tissues without particular damage so long as a tho the healthy tissue has bas its normal resisting power Injury to tissues tissue bo however whether by violence violence vla- vla vio vio- lence lenc extremo extreme heat or cold or otherwise other other- wise such Buch 88 as falls blows blown or other ot force which will damage the tissues reduces rt-duces this power to overcome disease disease disease dis dis- ease ease at rit Ut the particular point Injured and If It the bacteria be present in tho the blood stream they thrive and produce destructive work I Bone no Substance Destroyed d. d Once gaining such headway thet the tho t tubercle bacillus destroys the tho bony substance of ot the vertebrae and the spinal column collapses upon the they y weakened eD d part producing th the well known knows deformity called hunchback There Thero must be then first the presence pre pres enc ence enco of ot the tubercle bacillus in tho bloodstream and s secondarily Cond an nn InJury Injury injury In- In Jury of some Bome sort no matter how slight the kick of a horse a fall taU on the Ic ice a blow in play or some such mishap The spinal column is a bony structure t Lure ture r arranged In segments Each f t. t t li tf r I c- c It I. I f r J V. V Lb J I The The Fibia known commonly at as th the shin hin bone White Whit dots dota show how wh whir where ro bono bone Is I. cut for Albee Albe opera opera- ti tion n segment Is ie composed of ot a a. body two transverse processes and one process The body Is in the tho Important Im Im- f. f part structurally for it bears the tho weight of ot all aU those tholo above it it the transverse and spinal processes surround surround sur sur- round the tho spinal cord and protect tho the central nervous system with their bony structures tru tures The body of ot the vertebrae Is IB most mOlt usually the seat beat of ot this disease and sine since it bears the human weight when it Is III in part or totally destroyed those thos vertebrae above it a are o crowded down producing a 0 hump in the tho back Physicians Phy have long known that fixation of ot a bone or Joint that is le so 80 dl diseased oft often ri arrests this process and effects effect ct a cure so ao in accordance with this fact various appliances have havo been devised to straighten and maintain the tho spine in a n. fixed position co to that it cannot bend at 01 any any- time Ume ins ini any way in the diseased ar area a hie Metal al braces brace plaster r of ot Paris jackets Jacket sand and other such harnesses have been used with varying degrees of success lueceal But at best these require a no long Ions and anel tedious application and are successful successful success success- ful tul only In so 80 much as os the they keep the tho injured part immobile and fixed which they very often fall fail to do Bone Bono Is I. Disintegrated In seeking for tor a 8 better method of fixation the surgeons finally tried Ivory Iolj strips or pieces of ot bone front animals which they engrafted Into the spinal column and this really proved pro a better mechanical way of ot holding the spine rigid and Immobile at all aU times However J body tissue removes If It 1 any foreign and I dead material by res resolution and absorption absorption ab ab- ab- ab sorption and it has hM been demonstrated demonstrated demonstrated demon demon- that bone even ven the from same somo species Is considered by tho the body as forel foreign n and so so and and dis dissolved solved In a te few months Finally at attempts attempts attempts at- at tempts were made to take tak a piece of ot living and healthy health somer some somo r c These illustrations show how the vertebrae vertebrae ver ver- are located in relation to each other and how the Albee Albe operation operation op op- oration works The dotted lines indicate the insertion of a bad of- of ef effect effect of tuberculosis of the bone other ther part of ot the same individual and nd this called so-called bone grafting has given every evidence of ot s success the grafted crafted bone growing Into nto It its new bed bcd and there remaining permanently Such an operation was first suc- suc performed by Dr Albeo of ot New York and onel since then It has been repented repeated successfully in various parts of ot the tho country This week at tho the Holy Cross hospital hospital hospital hos hos- pital a a. bravo little fellow w was s so so operated upon by Dr A. A J J. J Hosmer assisted b by Dr A. A J. J Murphy It beIng being beng be- be Ing ng their eighth case all aU of ot which were vero extreme extremely gratifying in their success With an attendance of ot visiting visiting vis- vis doctors the operation was be begun begun beun be- be gun un at about 8 30 o'clock In the 0 morning and ancI completed ted In less than an hour Operation I Is Interesting The spinal column la is exposed to view and tho the spinal processes process are split with a l chisel so 80 that thata a groove of fresh tresh raw mw bono bone Is ready to receive tho the piece used as a 0 support Th Then n the tibia or commonly called shinbone shinbone shinbone shin bone which Is IA chosen because of its Its superficial position ant and easy fAy accessibility bUlt together with Its great thickness thickness thick thick- ness neRS and ami strength Is In uncovered and with an electrically driven circular saw a strip or of bore bOlle 6 to S 8 Inches long b by 2 1 1 Inch wide is cut out In order to render this piece pliable to conf conform m with the natural convexity convexity con con- vox It y or de the spine spino little slots are arc made matle with the same saw all aU along the thc grafted piece at nl right angles to its length len It is then placed in the groove heretofore prepared In the back of oC the spine and held there by Kangaroo tendon stitches the fascia and skin then being stitched up and covering It holding It firmly In place No attempt Is made to remove diseased diseased dis dis- eased tissue or bone hone because in the th first t place the body of tho the vertebrae vertebrae verte verte- brae cannot be bo r reached readily and Incidentally because It I Is not necessary necessary sf sary to remove such tissue the cure being effected ll simply b by keeping the diseased area rigid or fixed Danger of Infection The Tho gravest vest danger In such an operation lies In the extreme susceptibility susceptibility to p Infection popular popularly popularly lar known as blood poisoning which Is so peculiarly often otten fatal The Tho surgeon is scrupulous to th the most careful degree to see sec that all instruments and everything that comes comer in contact with the area under operation is thoroughly sterilized In addition to these a aseptic precautions he does not touch any part of oC the tho bone once with his fingers throughout through through- out the entire operation even en th though ugh his hands have been thoroughly scrubbed dipped In antiseptics and covered with sterilized rubber gloves glo Only m metallic t. Instruments which have been sterilized b by steam under pressure pressure come in contact with the living Jiving bone Operations Successful g 0 The engrafted piece of bone grows Into Its bed within eight or ten weeks the space apace in the tho shin hone from which it was taken is noush replaced with new bone b by nature and the patient is soon toon able to bo be bo boup up and around Some of or the tho eight patients so treated In Salt Lake arc are now actively engaged in the hardest hardest hard hard- est cst kind of ot manual labor It has been demonstrated time and again that tho the fixation at afforded by this new structure arrests the tho de destructive destructive destructive de- de process unless it has progressed pros too far before it reaches reaches' the surgeon and the patient enjoys a healthy and useful life Ufe whereas ho had otherwise only the promise of or a disfiguring disabling deformity which if ir allowed t to continue continue con con- r might l ht r result sult In ins paralysis due to T the injury to the nerves of the spinal cord to say nothing of ot the chances chance for dissemination of the tuberculosis Into the general or r consumptive typo and very ery often de death th |