A treatise on orthopedic surgery . an a sufficient angle to relaxthe contracted muscles and to straighten the lumbar lordosis;it is then abducted or adducted if necessary until the level ofthe pelvis is restored. The pelvic band is made to conform tothis greater relative inclination of the pelvis by lengthening theposterior strap; the brace is then applied, the limb being heldin the attitude of deformity by a sling or support (Fig. 232),and as much traction as the patient can tolerate is exerted bylengthening the upright. The direct traction exerted by the 348 OBTHOPEDIC SUBGEBY. brace may be
A treatise on orthopedic surgery . an a sufficient angle to relaxthe contracted muscles and to straighten the lumbar lordosis;it is then abducted or adducted if necessary until the level ofthe pelvis is restored. The pelvic band is made to conform tothis greater relative inclination of the pelvis by lengthening theposterior strap; the brace is then applied, the limb being heldin the attitude of deformity by a sling or support (Fig. 232),and as much traction as the patient can tolerate is exerted bylengthening the upright. The direct traction exerted by the 348 OBTHOPEDIC SUBGEBY. brace may be reinforced bj means of a cord running over apulley at the foot of the bed, in the line of the brace, to which aweight of ten or more i30unds (Fig. 239) is attached. Thus thepressure of the perineal bands is somewhat lessened. Efficienttraction will quickly reduce recent deformity caused by muscu-lar contraction, and as this is lessened the position of the limbis correspondingly changed until it lies extended and parallel Fig. The reduction of flexion by means of the traction hip splint. (C. F. Taylor.) with its fellow. If adduction is combined with flexion theperineal band on the side opposite to the disease is tightenedfrom time to time, or a direct push against the opposite adduc-tor region may be exerted by means of a bar attached to the braceopposite the knee (Fig. 368), In ordinary cases the deformitymay be reduced by this means in from two to six weeks. If, as in most instances, the brace is not at immediate com-mand the deformity may be reduced by direct traction. Reduction of Deformity by the Weight and Pulley.—The tractionplasters are applied to the limb in the manner already described,and the patient is placed on his back on a narrow, firm limb is raised until the lumbar vertebrae rest upon the bedand it is then moved to one or the other side, if lateral distortionis present, until the level of the pelvis is restored. In this posi-tion the limb is
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