Patient Case Study: Hamblin, Levi

In-patient, 1856

HOSPITAL ADMISSIONS RECORD

Hospital Dorset County Hospital Patient type In-patient
Number 3514 Date admitted 28 Feb 1856
Name Hamblin, Levi Renewed 24 Apr by Sherborne Union. 24 Jun by John Goodden Esqre. 28 Aug by G. D. Digby Esqre.
Age 5 Under whose care Mr. Tapp
Occupation Lab[ourer]’s child Disease Ununited fract[ure] of tibia
Parish Sherborne Discharged 1 Nov 1856
Recommended by W. C. Macreade Esqre. Outcome Relieved
Source Dorset History Centre, Dorset County Hospital in-patient admissions register 1847-59, NG/HH/DO(C)/5/2/1

 

CASE HISTORY

  1. “OPERATION FOR UNUNITED FRACTURE. … Case 2.–The Dorset Hospital. A child, aged 4, admitted on account of an ununited fracture of the tibia in its middle third. The fracture had occurred 15 months before, and had been duly attended to by a Surgeon. The bone appeared to have been broken obliquely from before back wards, and there was still free motion. Mr. Tapp operated with a tenotomy knife, introducing it between the ends of the bone and freely breaking up the false joint. Two short splints about four inches long were tightly applied one either side the limb and over these longer ones. On the third day after the operation large bullae were observed and the splints were consequently laid aside. Sloughing of the skin had however set in, and two sloughs of considerable size separated from where the short splints had pressed. By careful treatment the child got well through this process, and the ulcers left slowly healed. Three months after the operation the healing had been complete several weeks, but there was still considerable motion between the ends of the bone, though certainly not quite so much as previously. Gutta percha splints are now worn. Under treatment.” [Statistical report of the principle operations performed during the first half-year of 1856. Medical Times & Gazette, 1856, vol. 2, p. 347]
Advertisements