Lectures on orthopedic surgery . or by the conventional traction hip-splint. It has been protected from being pushed upagain in walking either by some form of perinealcrutch, or by a corset or girdle, made to press downwardupon the trochanters, and by restricting the lordosisrendering the femurs less secure through the iliopsoasmuscles. No permanent results have been had fromthis form of mechanical treatment. Traction followed by manipulative reduction wasfirst reported by Duval and Lafond in the case of achild of 9 years; but the permanency of the resultis not reported. In 1835, Humbert and J
Lectures on orthopedic surgery . or by the conventional traction hip-splint. It has been protected from being pushed upagain in walking either by some form of perinealcrutch, or by a corset or girdle, made to press downwardupon the trochanters, and by restricting the lordosisrendering the femurs less secure through the iliopsoasmuscles. No permanent results have been had fromthis form of mechanical treatment. Traction followed by manipulative reduction wasfirst reported by Duval and Lafond in the case of achild of 9 years; but the permanency of the resultis not reported. In 1835, Humbert and Jacquier re-ported successful cases. The reports were doubted. Itwas believed that they converted dorsal into ischiaticdislocations. Parvez, of Lyons, reported successful 338 cases. His work was investigated by a committee ofthe Royal Academy of Medicine in 1836, and confirmedby their report in 1838. This plan of treatment, how-ever, fell into disuse despite a few favorable cases re-ported by Buckminster Brown, of Boston, William. Fig. 263.—Congenital dislocation of both hips ; showing tilting forward of thepelvis and lordosis of the lumbar spine. Adams, of London, and Schede, of Hamburg, untilrecently it has received a new impetus from the workof Paci and of Lorenz. All cases are now subjected tothis treatment before being condemned to a cutting-operation. 339 Manipulative reduction, as now performed, consistsin pulling down the head of the bone and stretchingthe soft parts either by the hands of assistants or bymechanical means, the stretching process lasting severalminutes. One of the authors (J. R.) is accustomed tofix the pelvis by passing a strong long towel between
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
