Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


_Treatment_, in addition to that of the nerve lesion underlying the
arthropathy, consists in supporting and protecting the joint by means of
bandages, splints, and other apparatus. In the lower extremity, the use
of crutches is helpful in taking the strain off the affected limb. When
there is much distension of the joint, considerable relief follows upon
withdrawal of fluid. The best possible result being rigid ankylosis in a
good position, it may be advisable to bring this about artificially by
arthrodesis or resection. Operation is indicated when only one joint is
affected and when the cord lesion is such as will permit of the patient
using the limb. The wounds heal well, but the victims of tabes are
unfavourable subjects for operative interference, on account of their
liability to intercurrent complications. When the limb is quite useless,
amputation may be the best course.

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