Lectures on orthopedic surgery . -frame for holding the patient during the appli-cation of the plaster jacket, one of us (J. R.) hasmade use of the following procedure: After the spinehas been straightened forcibly, as already described,and the patient is clothed in the stockinet shirt, he islaid supine upon two light steel bars supported by twosheet-steel rests that stand upon a table. The steelbars are bent to fit the straightened spine from theapex of the kyphosis downward, and they are separatedjust far enough to make pressure upon the transverse 64 processes. The sheet-steel stands that c
Lectures on orthopedic surgery . -frame for holding the patient during the appli-cation of the plaster jacket, one of us (J. R.) hasmade use of the following procedure: After the spinehas been straightened forcibly, as already described,and the patient is clothed in the stockinet shirt, he islaid supine upon two light steel bars supported by twosheet-steel rests that stand upon a table. The steelbars are bent to fit the straightened spine from theapex of the kyphosis downward, and they are separatedjust far enough to make pressure upon the transverse 64 processes. The sheet-steel stands that carry the parallelbars are narrowed at the top to ^ inch on each side ofthe bars. Laid supine upon these bars, with the partof the body above the kyphosis extending beyondtheir ends, the weight of the upper part of thebody will straighten the deformity more than it can bestraightened in any other way during the applicationof the jacket. A half-inch pad of felt is placed betweenthe bars and the kyphosis, and quarter-inch pads over. Fig. 38.—Patient resting on Ridlons Bridge in position for the applicationof a plaster-jacket. the iliac crests and over the upper part of the plaster-jacket is then made, including the parallelbars. When it has hardened the patient is turnedover prone, and the parallel bars are pulled out. Thisleaves a weak place at the back just above the angle ofthe deformity; and this can be strengthened by a fewhalf turns of a plaster-bandage. In cases in which thedisease is in the dorsal region above the ninth verte-bra, the jacket can be built up in front under the chinof the extended head and the whole head need not be 65 included in the plaster-dressing. This bridge-devicefor supporting the patient, which only weighs 2 or 3pounds, can be used in place of Goldthwaits stretcher-frame in applying plaster-jackets when the patient hasnot been anesthetized, and in all cases it is far moreconvenient for the surgeon and more comfortable forthe patient th
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
