A treatise on orthopedic surgery . and accentuating its boundaries. In most instances the range of extension at the knee is for a time somewhat restricted. Thisrestriction is overcome by passive force and by the voluntaryeffort of the patient. The first bandage is retained from threeto six months or for a longer period, the skin being kept in goodcondition by daily vigorous rubbing with the band beneath thesupporting bandage. In addition the leg should be regularlymassaged; after a few weeks the bandage becomes loose aboutthe pelvis. This will permit rubbing of the buttocks. One isable also by
A treatise on orthopedic surgery . and accentuating its boundaries. In most instances the range of extension at the knee is for a time somewhat restricted. Thisrestriction is overcome by passive force and by the voluntaryeffort of the patient. The first bandage is retained from threeto six months or for a longer period, the skin being kept in goodcondition by daily vigorous rubbing with the band beneath thesupporting bandage. In addition the leg should be regularlymassaged; after a few weeks the bandage becomes loose aboutthe pelvis. This will permit rubbing of the buttocks. One isable also by palpation of the anterior region to ascertain whether CONGENITAL DISLOCATION OF HIP AND COXA VAEA. 555 or not the head of the femur is in proper position. In young-children the bandage must be changed as often as it becomes offensive. In six months or when it may be supposed that the accom-modative changes of the muscles about the joint and the contrac-tion of the capsule will prevent of redisplacement, the limb is let Fig. Unilateral congenital dislocation, showing the fixation bandage. A shoewith a cork sole about two inches in height should be worn on the operated side,while the attitude of exaggerated abduction is maintained. down somewhat so that the patient is able to walk about withoutthe aid of a high shoe. The second bandage is retained for threemonths or more, and it is then removed, the period of retentionbeing from six to twelve months, according to the stability ofthe joint at the time of reduction. In the treatment of veryyoung children, when in testing the stability at the time of 556 OBTHOPEBIC SUEGEBY. operation the femur is not displaced, even when the normalposition is approached, the limb mav be fixed by the plaster ina less distorted attitude—what Lorenz calls the indifferent posi-tion of flexion, abduction, and outward rotation. So, also, when the tests at the operation show fair stability asecond bandage need not be applied after a preliminary re
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
