A treatise on orthopedic surgery . the flexor tendons is advisable. The deformityis then in part corrected, complete rectification being deferreduntil repair is complete. The Billroth Splint.—The Billroth splint, as modified by Still-man, IS an effective appliance for overcoming resistant de-formity. A thick pad of felt is placed over the upper surfaceof the condyles of the femur and a thinner pad in the poplitealregion over the upper border of the tibia. Other points thatmay be subjected to pressure are similarly protected, especiallythe dorsum of the foot and the perineum. A plaster bandage
A treatise on orthopedic surgery . the flexor tendons is advisable. The deformityis then in part corrected, complete rectification being deferreduntil repair is complete. The Billroth Splint.—The Billroth splint, as modified by Still-man, IS an effective appliance for overcoming resistant de-formity. A thick pad of felt is placed over the upper surfaceof the condyles of the femur and a thinner pad in the poplitealregion over the upper border of the tibia. Other points thatmay be subjected to pressure are similarly protected, especiallythe dorsum of the foot and the perineum. A plaster bandage is TUBERCULOUS DISEASE OF THE KNEE-JOINT. 431 then applied from the groin to the toes, made especially thickand strong in the popliteal region. On either side of the kneetwo curved, slotted steel bars attached to expanded tin splintsand joined to one another by an adjustable bolt are incorporatedin it (Fig. 296). When the bandage hardens it is completely-divided into two parts by a circular cut about the knee, and the Fig. Tuberculous disease of the knee in an adult, with the form of Billroth splintused at the Hospital for Ruptured and Crippled. bolts in the slots are so adjusted as to form a hinged splint,the centre of motion being somewhat above and in front of theknee-joint. When the limb is slightly extended the position ofthe hinges has a tendency to lift the tibia and to separate it fromthe femur. This straightening opens the cut in the poplitealregion, which is held open by a wedge of cork. In this manner,by the insertion of larger wedges the limb is gradually straight-ened from day to day until the deformity is overcome, or until anew bandage is required. If the pressure on the front of the 432 OBTEOPEDIC SUBGEBT. Fig. 297 femur, when the leverage is exerted, becomes painful, a part ofthe padding is removed. In the treatment of older subjects greater force may be em-ployed by means of osteoclasts. One of the best machines of thistype is the Bradford-Goldthwait g
Size: 1259px × 1986px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
