An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . s with abscesses and sinuses. When the limb is straight a plaster cast should be applied, extending from the malleoli well up to the body (Fig. 17). A short cast extending only part way up the thigh or down the leg is worse than useless. The cast should be applied next the skin or over a very light roller bandage, and should never be heavier than
An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . s with abscesses and sinuses. When the limb is straight a plaster cast should be applied, extending from the malleoli well up to the body (Fig. 17). A short cast extending only part way up the thigh or down the leg is worse than useless. The cast should be applied next the skin or over a very light roller bandage, and should never be heavier than pasteboard. The shoe on the sound side should be elevated two and a half or three inches, and crutches used. The plaster should be changed every ten days or two weeks until the deformity is overcome, and after that about once a month. A good splint can be made of sole leather. It should be soaked in cold water until soft, and then moulded to tlie limb by applying a bandage over it. After it dries it will keep its shape indefinitely, and is light and clean. Leather is not as .suitable as plaster before the deformity is overcome. After many years of experience with all sorts of apparatus the writer prefers plaster of Paris for knee-joint Thomass knee-splint applied. ORTHOPEDICS. 1079 A very good knee-splint is that of Hugh Owen Thomas, which does awaywith crutches (Fig. 18). It consists of a padded steel ring which surroundsthe thigh, and two steel uprights extending from the ring down to a pointtwo or three inches below the bottom of the foot, where they are united by asmaller ring. The outer upright is longer than the inner one, so the upperring rests against the perineum on the inner side and passes above the greattrochanter on the outer side. When the child walks its weight on the affectedside is sustained by the ring, and thus taken from the joint (Fig. 19). Thelimb is fixed between the uprights by straps or bandages. The shoe on theunaffected side must be elevated s
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