A treatise on orthopedic surgery . The spica with traction and the wheeled couch used at the Hospital for Ruptured and Crippled. slight traction, very carefully around the adductor region andreinforced beneath the buttock, which should be entirely coveredand supported. At this point, in the line in which the bar ofthe Thomas hip splint runs, a piece of splint wood or a strip ofmalleable steel, long enough to reach from the middle of thetrunk to the lower third of the thigh, should be incorporated inthe plaster (Fig. 255). A similar piece is sometimes placed infront of the hip and another benea
A treatise on orthopedic surgery . The spica with traction and the wheeled couch used at the Hospital for Ruptured and Crippled. slight traction, very carefully around the adductor region andreinforced beneath the buttock, which should be entirely coveredand supported. At this point, in the line in which the bar ofthe Thomas hip splint runs, a piece of splint wood or a strip ofmalleable steel, long enough to reach from the middle of thetrunk to the lower third of the thigh, should be incorporated inthe plaster (Fig. 255). A similar piece is sometimes placed infront of the hip and another beneath the knee, the points at 372 OETHOPEDIC SOEGEBY. wbiclt the support is likely to break before it becomes firm. Tbeproper anteroiDosterior support of tbe buttock, consequently ofthe bip-joint, which is of tbe first importance, is almost invari-ably neglected in the ordinary application. The spica maybe applied in the upright posture by means of the swing, as Fig. The Lorenz spica, showing tlie adjustment to tlie pelvis. In this case it isextended below the knee, but in many instances motion at the knee-joint ispermitted. used in the application of the plaster jacket, the weight beingsupported in part by the sound leg while the other is it is applied with the patient in the reclining posture. TUBEECULOUS DISEASE OF THE HIP-JOINT. ;373 the body lying on a shoulder rest, and a sacral support. The armsare then drawn above the head to increase the capacity of thethorax, while the limbs are supported by an assistant (). In the more recent cases, deformity may be practically reducedat the second application of the bandage, because of the relaxa- Fi<;. 2G3.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
