Lectures on orthopedic surgery . Fig. 116.—Method of changing the line of pressure on the skin from the-Thomas hip-splint. When the long traction-splint is supplemented by abody-piece, as in the Ridlon and the Phelps splints,with no motion between body-piece, hip band, and ex-tension-bar, the splint becomes the most useful meansfor the correction and prevention of lateral deformity,,and is second only to the Thomas hip-splint for correc-tion and prevention of anteroposterior deformity. Trac. 155 tion, during recumbency, when combined with leverageis a most effective means for reducing deformit
Lectures on orthopedic surgery . Fig. 116.—Method of changing the line of pressure on the skin from the-Thomas hip-splint. When the long traction-splint is supplemented by abody-piece, as in the Ridlon and the Phelps splints,with no motion between body-piece, hip band, and ex-tension-bar, the splint becomes the most useful meansfor the correction and prevention of lateral deformity,,and is second only to the Thomas hip-splint for correc-tion and prevention of anteroposterior deformity. Trac. 155 tion, during recumbency, when combined with leverageis a most effective means for reducing deformity, and incertain sensitive cases during the development ofabscess, is a very efficient aid in allaying muscularspasm, and reducing the paroxysms of pain. In otherequally sensitive cases it is not well borne, and positivelyincreases the suffering. In the majority of cases it isneither indicated nor contraindicated. In cases thatare no longer particularly sensitive it may be used as a. Fig, 117.—Method of lifting a patient in the Thomas hip-splint. walking-brace without apparently doing harm, despitethe theoretic evidence to the contrary, in the vastmajority of cases. In patients too young to be trustedwith axillary crutches, it furnishes the safest protectionwhich we have against weight-bearing. The splint isexpensive, costing about four times as much as theThomas splint, and it requires intelligent care on thepart of the parents, and frequent attention on the partof the surgeon. 156 The long traction hip-splint of the Sayre, Taylor, orJudson pattern we do not use except during convales-cence. It does not, at best, readily overcome deformity ;it permits the development of a marked flexion withabduction, or adduction, in cases where no deformityat first existed; it does not prevent exacerbations ofpain and the development of abscesses; in a word, itdoes not immobilize the joint sufficiently to give theprotection required during the active stage of the dis-ease. Wi
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
