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A treatise on orthopedic surgery . effective traction, but in hospitalpractice the upright is made of solid metal, and the traction ismade by simple straps. The metallic ring, besides providingbetter fixation, is a firm support that cannot be removed by thepatient. It is, of course, more difficult of adjustment, and it isnot suited to the treatment of young children because of the diffi-culty in keeping it clean and dry. The Thomas ring was first applied to a hip splint by Phelps(Fig. 244). He urged the advantages of fixation and traction,and his brace, of which that last described is simply a
A treatise on orthopedic surgery . effective traction, but in hospitalpractice the upright is made of solid metal, and the traction ismade by simple straps. The metallic ring, besides providingbetter fixation, is a firm support that cannot be removed by thepatient. It is, of course, more difficult of adjustment, and it isnot suited to the treatment of young children because of the diffi-culty in keeping it clean and dry. The Thomas ring was first applied to a hip splint by Phelps(Fig. 244). He urged the advantages of fixation and traction,and his brace, of which that last described is simply a slightmodification, is provided with an arrangement for lateral trac-tion. Practically speaking, this is a tape by which the lower TUBEBCULOUS DISEASE OF THE HIP-JOINT. 357 third of the thigh is held in apposition to the upright. Ithardly seems possible that appreciable lateral traction can beexerted on the joint by this means if the metallic ring isproperly fitted to the thigh. The simple straps do not afford Fig. 242. Fig. 2^
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910