Böni T
Orthopädische Universitätsklinik Balgrist, Zürich.
Ther Umsch. 1996 Oct;53(10):716-23.
Knee-joint problems have worried our medical ancestors time and again and made them search for unconventional solutions. Four small case studies are meant to give the reader an insight into the paleopathology and medical history of knee-joint diseases. A grotesquely deformed knee-joint of a young ladies' tailor from the hospital cemetery of Basle (1846) has been investigated paleopathologically and led to the diagnosis of a severe knee-joint tuberculosis. Based on the rediscovered written legacy of the Zurich country doctor Felix Heusser (1817-1875), his significance as an up to now underrated pioneer of knee-joint resection is illustrated. The example of the first knee-endoprosthesis invented by Themistocles Gluck (1853-1942) demonstrates how an ingenious idea can very seriously affect the career of a very promising physician. Another milestone in knee surgery, the invention of knee arthroscopy by the controversial Argovian surgeon, military commander and politician Eugen Bircher (1882-1956), deserves once more our attention.
膝关节问题一直困扰着我们医学界的先辈,促使他们寻找非常规的解决方案。四个小型案例研究旨在让读者深入了解膝关节疾病的古病理学和医学史。对巴塞尔医院墓地(1846年)一名年轻女裁缝严重畸形的膝关节进行了古病理学调查,诊断为严重的膝关节结核。基于重新发现的苏黎世乡村医生费利克斯·赫泽尔(1817 - 1875)的书面遗产,阐明了他作为迄今为止被低估的膝关节切除术先驱的重要性。以特米斯托克利斯·格鲁克(1853 - 1942)发明的首个膝关节假体为例,展示了一个巧妙的想法如何严重影响一位极有前途的医生的职业生涯。膝关节手术的另一个里程碑,即有争议的阿尔高外科医生、军事指挥官兼政治家欧根·比尔彻(1882 - 1956)发明的膝关节镜检查,再次值得我们关注。