with a bandage soaked in an antiseptic
solution. For the first night the animal should be tied up short to the
rack, and the following morning the bandages removed. A little boracic
acid or iodoform, or a mixture of the two combined with starch (starch and
boracic acid equal parts, iodoform 1 drachm to each ounce) should now be
dusted over the wounds, the antiseptic pledgets renewed, and the bandage
readjusted over all.
At the end of three or four days the bandages may be dispensed with. All
that is necessary now is an occasional dusting with an antiseptic powder,
and, as far as possible, the restriction of movement. At the end of a week
the sutures may be removed, and the animal turned into a loose box or out
to pasture.
E. MEDIAN NEURECTOMY.
As a palliative for lameness when confined to the foot, one would imagine
that the plantar operation would be all sufficient. There are operators,
however, who state that the results following section of the median nerve
have been such as to cause them to entirely abandon the lower operation in
its favour. If only for that reason a brief mention of the operation must
be made here.
The operation was first performed in this country in October, 1895, the
subject being one of the out-patients at the Royal Veterinary College Free
Clinique.
For five or six years following this date Professor Hobday performed the
operation some several hundred times, and was certainly instrumental in
bringing the operation into prominence. Though so recently introduced here,
it appears to have been practised for several years on the Continent,
originating in Germany as early as 1867. In that country a first public
account of it was published in 1885 by Professor Peters of Berlin, while in
France it was introduced by Pellerin in 1892. In this operation a portion
of the median nerve is excised on the inside of the elbow-joint just below
the internal condyle of the humerus. Here the nerve runs behind the artery,
then crosses it, and descends in a slightly forward direction behind the
ridge formed by the radius.
The position of the limb most suitable for the operation is exactly that we
have described as most convenient for the plantar excision. The animal is
cast, preferably anaesthetized, and the limb removed from the hobbles, and
held as far forward as is possible by an assistant with the side-line.
Professor Hobday's description of the operation is as follows:
'A bold incision is made
|