A treatise on orthopedic surgery . orsiflexion. If the deformity isextreme the bandage may be reapplied be-fore the correction is completed with ad-vantage. One should take care that thetoes are not compressed, but lie on thesame plane in normal relation to oneanother. When rectification is complete the plaster bandage is coveredwith strips of pine shavings, held in place by a crinoline band-age, and painted with carpenters glue. When this is hardenedthe whole is covered with a thin silicate bandage; over this theshoe is fitted and the patient is encouraged to walk. This formof dressing is use


A treatise on orthopedic surgery . orsiflexion. If the deformity isextreme the bandage may be reapplied be-fore the correction is completed with ad-vantage. One should take care that thetoes are not compressed, but lie on thesame plane in normal relation to oneanother. When rectification is complete the plaster bandage is coveredwith strips of pine shavings, held in place by a crinoline band-age, and painted with carpenters glue. When this is hardenedthe whole is covered with a thin silicate bandage; over this theshoe is fitted and the patient is encouraged to walk. This formof dressing is used until the transformation of the deformedparts may be supposed to be complete, the time varying withthe case, from a few months to a year. The time required forthe primary correction is from a week to a month. When thebandage is finally removed massage and exercises are to ^ Wolffs treatment is an efficient, though tedious, ^ Ueber die Ursachen, das Wesen und die Behandlung des Wolff, Berlin, The points at whichthe bandage is dividedand the wedge removed.(Freiberg.) 828 OETHOPEDIC SUEGEET. means of correction. It may be more conveniently employed inlater childhood and adolescence than at an earlier age. Forcible Correction of Deformity by Means of Osteoclasts —In place of manual correction greater force may beemployed by means of wrenches or osteoclasts to overcome thedeformity. There is this important difference betvireen the twoprocedures: force may be applied by the hands for as long a timeas is necessary without fear of injury, while force applied by a Fig. 556. Fig. 557.


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