The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . the necessary movements wouldotherwise be too severe to be borne. After the starched bandage haswell set, a trap may be cut in it opposite any part of the joint to wliiciiit may be thought necessary to make applications ; and the perinealaspect of the apparatus must be well lined and covered with oiled silk,so as to prevent its being injuriously soiled. In this way the limb maybe immovably fixed in a proper position by a light and firm apparatus,which will seldom require to be changed during the


The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . the necessary movements wouldotherwise be too severe to be borne. After the starched bandage haswell set, a trap may be cut in it opposite any part of the joint to wliiciiit may be thought necessary to make applications ; and the perinealaspect of the apparatus must be well lined and covered with oiled silk,so as to prevent its being injuriously soiled. In this way the limb maybe immovably fixed in a proper position by a light and firm apparatus,which will seldom require to be changed during the treatment of thecase. A very ingenious and useful extending apparatus for hip-joint disease,at any period of its development, from the earliest to that of abscess,has lieen invented by Sayre (see Fig. 488). By means of this apparatus,extension is made from the knee, and connter-extension from the pelvis, 318 DISEASE OF THE HIP-JOINT. the apparatus being lengthened by a rack and pinion on the outer prevents the necessity of confinement to Ijed, and l^eeps the limb in astraight Fig. 488.—Sayres Extending Apparatus for Hip-joint Disease. The best apparatus that has yet been invented for hip-disease is thatrepresented (F\g. 489) by H. O. Thomas. The patient is laid in the splint; the limb speedily fallsinto a straight position, andhaving been fixed, exercise maybe allowed, the patient walkingon crutches, with a patten, toraise the sound foot, and socarry the diseased limb well offthe ground. The contrivance isa most admirable and useful the disease has falleninto a somewhat chronic condi-tion, or has been from the firstof the subacute or Femoralvariety, a different and lessactive line of treatment requiresto be pursued. In such cases,rest and perfect immobility, bymeans of the starched bandageor leather splint, are indispensa-ble ; in conjunction with these,the employment of counter-irri-tants, more particularly the caus-tic issue, will l)e attended wit


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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative