. Observations on lateral & angular curvature of the spine, wry-neck, club-foot, and other orthopedic affections : with report of cases. ment, a solution of nitrate of silver,and the douche, were resorted to. These applications pro-duced great relief from pain, and also removed, to a consider-able extent, the sensitiveness of the joint. After this preparatory treatment had been vigorously en-forced, and its object attained, our aim, of course, was torestore the bones to their normal position. To effect this,we administered chloric ether, until the little patient wascompletely under its influen
. Observations on lateral & angular curvature of the spine, wry-neck, club-foot, and other orthopedic affections : with report of cases. ment, a solution of nitrate of silver,and the douche, were resorted to. These applications pro-duced great relief from pain, and also removed, to a consider-able extent, the sensitiveness of the joint. After this preparatory treatment had been vigorously en-forced, and its object attained, our aim, of course, was torestore the bones to their normal position. To effect this,we administered chloric ether, until the little patient wascompletely under its influence, and totally insensible. Ex-tension and counter-extension were then used, by means ofpulleys, to separate the extremities of the bones ; and then, byapplying Dr. Littles very ingenious and useful apparatus foraffections of the knee, we were enabled on the first trial par-tially, and on the second, made a few weeks later, entirely, toremove the dislocation; and, at the same time, the leg wasalmost completely straightened. Fig. 15. — Appearance of the leg during treatment, with arepresentation of Dr. Littles apparatus. Fig. No inflammation or other ill effects resulted from this ope-ration : on the other hand, the tenderness was Less ; and thepatient was enabled to use the limb as soon as we consideredit consistent with safety to do so. He now placed the wholefoot fairly on the ground, and walked with but a slight limp,which was the consequence of the limb being from one to two 33 inches shorter than the other. This shortening, or moreprobably this arrest of development, always takes placewhen a limb is from any cause kept for any length of time ina state of inactivity, and can only be remedied, in a majorityof instances, by the boot being made with a sole of sufficientthickness to render both legs of equal length. Charles Masnow enabled to throw aside his crutches, without which, fora great length of time, he had not been able to walk a step ;and with the assistance of
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Keywords: ., boo, bookcentury1800, bookdecade1860, booksubjectspinalcurvatures