A treatise on orthopedic surgery . firm for several hours. The shirt is thendrawn up over the jacket and is sewed to the neck portion; thisadds much to neatness and cleanliness. The shirt must bedrawn tightly about the neck, in order to guard the body fromthe crumbs or other objects that may fall beneath the jacket, 80 OBTHOPEDIC SUBGEBY. and in many instances a special protector in the form of a widecollar bib may be used with advantage. The upper and lower ends of the cleansing bandages arejoined to one another with tape, and with them the skin is care-fully rubbed twice daily. When soiled t


A treatise on orthopedic surgery . firm for several hours. The shirt is thendrawn up over the jacket and is sewed to the neck portion; thisadds much to neatness and cleanliness. The shirt must bedrawn tightly about the neck, in order to guard the body fromthe crumbs or other objects that may fall beneath the jacket, 80 OBTHOPEDIC SUBGEBY. and in many instances a special protector in the form of a widecollar bib may be used with advantage. The upper and lower ends of the cleansing bandages arejoined to one another with tape, and with them the skin is care-fully rubbed twice daily. When soiled they may be replaced. It may be mentioned in this connection that even the slightestexcoriation or irritation of the skin beneath the jacket can bedetected by the peculiar odor. Of this parents should be in-formed, so that it may be cut down and the source of the irrita-tion removed at once. With ordinary care sores, the bugbearof the plaster jacket, may be avoided or so quickly detected thatthey are of little consequence. Fig. The jury-mfist. From the mechanical standpoint the plaster support is mostsatisfactory in the treatment of disease of the dorso-lumbarregion, its efficiency lessening according to the distance fromthis central point. If the disease is above the tenth dorsal vertebra it is well tocarry the plaster bandages about the neck and in front of theshoulders as in the Calot jacket or direct backward traction onthe shoulders may be made by means of the anterior shoulderbrace described in connection with the spinal brace (Fig. 41) ;this may be attached to buckles incorporated in the plaster orby tapes crossed behind the shoulders. Traction applied inthis manner is an additional fixation for the spine and assuresbetter expansion of the chest. In default of this appliance theshoulders may be included in the plaster support. In many instances a head support is required, and it is, of TUBEBCULOUS DISEASE OF THE SPINE. 11 course, always indicated in disease of the up


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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910