Lectures on orthopedic surgery . shion and pinned with a large pin directlythrough the covering at the back of the splint so thatthe bandage cannot slip upon the splint, and any ten-dency of the splint to slip downwards is avoided. 163 If the splint is found too large, or, as when the pa-tient grows, too small, it may be necessary to modify itslength. This is quite simply done. If it is too large,draw the body-wings towards the abdomen; if tooshort, draw them towards the neck. A strip of broadbandage is then looped around the upper end of thestem below the chest band, and, having been twistedt
Lectures on orthopedic surgery . shion and pinned with a large pin directlythrough the covering at the back of the splint so thatthe bandage cannot slip upon the splint, and any ten-dency of the splint to slip downwards is avoided. 163 If the splint is found too large, or, as when the pa-tient grows, too small, it may be necessary to modify itslength. This is quite simply done. If it is too large,draw the body-wings towards the abdomen; if tooshort, draw them towards the neck. A strip of broadbandage is then looped around the upper end of thestem below the chest band, and, having been twistedtwo or three times so that the ends will separate highup on the back, each end is carried over a shoulderand brought down to the hole in the end of the chest-band like a pair of braces; here each is tied securely,crossed to the hole of the opposite side and tied again,w^hen the ends are firmly knotted. The final knotshould be secured either with a long pin driven throughit and twisted at its end, or with a bit of Fig. 123.—Showing method of binding wings of chest-band upwards and down-wards, and the method of looping a bandage over the outer wing of thethigh band to oppose rotation. The splint should be applied without bending themain stem from the shape already described, if it ispossible to force the leg at the knee reasonably near tothe splint. The lumbar spine readily curves whenthere is flexion at the hip sufficiently to allow the limbto be brought down to the splint when there is as muchdeformity as fifty degrees; but if the deformity be verygreat, as much perhaps as ninety degrees, it may benecessary to bend the splint just enough to get the limbinto contact with it when the fullest possible lordosishas been obtained. In these cases the bending is doneat the upper bend of the main stem directly at the backof the joint. In practice, however, this will rarely befound necessary, and it has its disadvantages. 164 If there exists any considerable degree of
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
