Sessional_Paper_1890 — Page 336

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Amongst the other operations may be mentioned one of successful trephining for compound depressed fracture of the frontal bone, and one of excision of the hip-joint for advanced strumous disease. The notes of these cases were read before the Hongkong Medical Society the patients being present, the latter being also successful.

FRACTURES AND DISLOCATIONS.-In addition to the surgical operations the following cases of fracture and dislocation were successfully treated during the year :-

Compound Fracture of femur

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>>

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Fracture of humerus

fibula

**

tibia and fibula

"

ankle joint

olecranon

27

19

ulna

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femur

tibia

"

19

tibia and fibula

,,

17

clavicle

""

"

1

1

.1

.1

.2

.1

1

2

.1

..2

.....1

2

.2

.1

Compound dislocation of knee joint

Dislocation of shoulder (Subcoracoid)

olecranon

>>

In two of these cases the union was somewhat delayed-in one there was a compound fracture of right tibia and fibula and a comminuted fracture of left tibia and fibula these bones however ul- timately became firmly united,

(12.) Alcoholism contributed 44 cases of which 5 proved fatal, in three of the cases the patient was suffering from other diseases.

(13.) There were twelve cases of poisoning under treatment, ten of which were from opium of which six arrived too late for treatment; of the remaining two in one the poisonous agent was arsenic, and in the other stramonium.

Added to this Report are the notes of some cases of Surgical and Medical interest.

I also include a report of the cases treated in the Temporary Small-pox Hospital.

31. During the year thirty Post Mortem Examinations have been made.

32. The various appendices are as follows:---

Appendix A.-Notes of Medical Cases.

B.-Notes of Surgical Cases.

C.-Report of Small-pox Hospital.

D. Some observations on the blood, &c. of patients suffering from Malarial Fever. 33. The total amount of fees received from patients during the year was $11,444.49 of this the Board of Trade paid $2,163.00 and the Police $1,068.62. This is by far the largest amount yet re- ceived in any one year and shows an increase of $1,639.34 on that of the previous year deducting the fees received from the small-pox patients during the last two years the increase is $2,539.47.

This sum corresponding to over $200 a month was received from the increased number of private patients treated during the year, as the Board of Trade and Police paid slightly less than in the year 1888.

34. I wish to thank the Naval and Military Surgeons and the Civil Doctors for their able assistance frequently rendered, particularly at operations.

GIFTS OF FLOWERS, NEWSPAPERS, &c.

I take this opportunity of thanking many residents of the Colony for numerous presents of newspapers, books, &c., and particularly several ladies for their visits and gifts of flowers to the pa- tients.

I have the honour to be,

Sir,

Your obedient Servant,

J. MITFORD ATKINSON, M.B., (Lond.),

Superintendent of the Government Civil Hospital.