. Annals of surgery . Fig. 7A.—Treatment of stiff :iri.:,I , contractureextensor tendons, by Dickson method. Condition of hand (admission. The fingers are in the position shown. HKXRY H. M. LVLE. fixed with plaster to prevent their retiiuval. the patient is instructed to pullhis fingers and thus increase the flexion. The pads become quite loose in a few-days and additional wedges have to be applied. This procedure is repeateduntil the metacarpo-phalangeal joints are completely flexed, this takes aboutfour weeks. When the maximum flexion is obtained it is to be retaine
. Annals of surgery . Fig. 7A.—Treatment of stiff :iri.:,I , contractureextensor tendons, by Dickson method. Condition of hand (admission. The fingers are in the position shown. HKXRY H. M. LVLE. fixed with plaster to prevent their retiiuval. the patient is instructed to pullhis fingers and thus increase the flexion. The pads become quite loose in a few-days and additional wedges have to be applied. This procedure is repeateduntil the metacarpo-phalangeal joints are completely flexed, this takes aboutfour weeks. When the maximum flexion is obtained it is to be retained fora week or ten days. The third step consists in the removal of the plaster beakand the employment of a flexion retaining bar. A notched piece of metal to actas a guide for the traction wire is inserted on the palmar surface of the wrist,and an anchoring metal ring near the elbow. A padded bar is placed over thehead of the phalanges, and frr]ni the centre of this a wire runs over the guide [lost to a traction spring,this spring being in turnfixed to the anchoring ringat the ell)0w. By adjust-ing this spring sufficientforce can be applied tokeep the fingers flexed. Itis important to see that theliar rides over t
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
