Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1023.—Frame Bent to Secure Overextension of Spine. Ambulatory treatment is carried out with jackets of stiff material, suchas plaster-of-Paris, and with braces. It does not meet the local require-ments as well as treatment by horizontal fixation, but it gives the patientgreater liberty. It is not used in children younger than four years, exceptas a support after all active disease has subsided. In older children it maybe applied after treatment by recumbency


Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1023.—Frame Bent to Secure Overextension of Spine. Ambulatory treatment is carried out with jackets of stiff material, suchas plaster-of-Paris, and with braces. It does not meet the local require-ments as well as treatment by horizontal fixation, but it gives the patientgreater liberty. It is not used in children younger than four years, exceptas a support after all active disease has subsided. In older children it maybe applied after treatment by recumbency has been used for a short adolescents and adults the ambulant method is used from the are used in the early stage; in the convalescent stage, braces are pref-erable. Jackets of plaster-of-Paris are applied by winding smoothly aboutthe body moistened plaster-of-Paris bandages, the spine having been placedin the desired position. When the plaster has dried, a firm support is se-. Fig. 1024.—Suspension Hammock for Application of Plaster Jacket in Tuber-culous Spondylitis. cured. The jacket should extend as high as possible and as low as jacket is of greatest value in disease of the lower dorsal and upper lumbarregions. Jacket Applied with Patient in the Prone Position.—A hammock of un-bleached muslin, slightly narrower than the width of the thorax, is sus-pended from a frame, and the patient placed upon it longitudinally, facedownward (Fig. 1024). The amount of curve can be increased by increasingthe slack. An ordinary iron bed-frame or a tubular iron frame is usefulfor this purpose or the hammock may be swung from two hooks or smallest possible number of layers of muslin to support the patient should 330 SURGICAL TREATMENT be used. One thickness suffices for a small child. A tricot cotton coveringor a cotton jersey underskirt is used to cover the skin. A small pad of gauzeor cotton should be fixed over bony prominences such a


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920