[Amputation and equipment of the lower limb during the Revolution and the Empire].

Histoire des sciences medicales Pub Date : 2014-07-01
Benoît Vesselle
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Abstract

During the French Revolution and Napoleon's campaigns, above-knee or below-knee amputations were performed either immediately or with a delay, which favoured septic problems. A rapidly operated amputation by a well-trained surgeon was the best way to save the life of a soldier who suffered from an open comminuted fracture of a limb. The conditions on military campaigns were indeed hard ones: doctors and surgeons had practically no resources and the transportation of severely injured persons was difficult. Such conditions favoured the pain and the danger caused by an injury, and it was rather impossible for the medical corps to lavish repeated treatments on the wounds. The amputated soldiers were then given prostheses: either a traditional peg-leg, with a flexed knee joint for trans-tibial amputations, or an "imitative" prosthesis, which tended to look like a real leg with eventually an articulated knee or foot. The author mentions famous or unrecognized amputated men, describing significant events.

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[革命和帝国时期下肢的截肢和装备]。
在法国大革命和拿破仑的战役期间,膝盖以上或膝盖以下的截肢要么立即进行,要么延迟进行,这有利于脓毒症的发生。由训练有素的外科医生迅速进行截肢手术,是挽救一个遭受开放性肢体粉碎性骨折的士兵生命的最好方法。军事行动的条件确实很艰苦:医生和外科医生几乎没有资源,运送重伤员也很困难。这样的条件有利于受伤引起的疼痛和危险,医疗队不可能对伤口进行反复的治疗。然后给被截肢的士兵装上假肢:要么是传统的假腿,有一个弯曲的膝关节,用于胫骨截肢;要么是“模仿”假腿,看起来像一条真正的腿,最终有一个关节膝盖或脚。作者在描述重大事件时提到了著名的或未被认识的截肢者。
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