Lectures on orthopedic surgery . The lumbar spine readily curves whenthere is flexion at the hip sufficiently to allow the limbto be brought down to the splint when there is as muchdeformity as fifty degrees; but if the deformity be verygreat, as much perhaps as ninety degrees, it may benecessary to bend the splint just enough to get the limbinto contact with it when the fullest possible lordosishas been obtained. In these cases the bending is doneat the upper bend of the main stem directly at the backof the joint. In practice, however, this will rarely befound necessary, and it has its disadv
Lectures on orthopedic surgery . The lumbar spine readily curves whenthere is flexion at the hip sufficiently to allow the limbto be brought down to the splint when there is as muchdeformity as fifty degrees; but if the deformity be verygreat, as much perhaps as ninety degrees, it may benecessary to bend the splint just enough to get the limbinto contact with it when the fullest possible lordosishas been obtained. In these cases the bending is doneat the upper bend of the main stem directly at the backof the joint. In practice, however, this will rarely befound necessary, and it has its disadvantages. 164 If there exists any considerable degree of abduction,a wing should be attached as already directed, passingaround the flank on the side opposite to the there be any considerable adduction the wing isattached at the same point, but passed around theflank on the side where the disease is located. Careshould be taken to draw these wings well in betweenthe ilium and ribs, since pressure is not tolerated over. Fio. V2i.—^hjw:.i ^ r;:~: ^:^e temporary lordosis produced in correcting extreme flexiondeformity by anteroposterior leverage. these bony points. At other times the body-wings aredrawn toward the position taken by abduction or ad-duction wings when one cannot conveniently procurethe additional wings. In the case of the very poorthe hip-splint is often supplied by one of the authors(R. J.) without padding or leather. Lead-foil plasteris alone placed around the body-wings and stem. I 165 the splint has been accurately fitted no sore or excoria-tion results. If it is desired to prevent the patient from walking,a strip of iron is screwed on to the lower end of thesplint, bent to pass free of the heel, and carried 10 or 12inches below the foot, so that standing or walking is quiteimpossible. This piece is called a nurse, and willbe found, when children are restless, a safe precautionduring the period of recumbency. If severe leveragebe brought to bear over
Size: 1826px × 1369px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
