A treatise on orthopedic surgery . A pelvic support in use. The patient presents fixed flexion to 135 degrees, andfixed adduction of 35 degrees. culous disease of the lungs, periods of rest alternating with anactivity regulated by the symptoms. It is a compromise be-tween the treatment of the local disease and the effect of thistreatment upon the limb and upon the patient. Thus, acutesymptoms at any stage of the disease indicate the long spicaand traction; discomfort, a lessened activity and relief fromweight bearing. If, however, the local disease is quiescent,weight bearing without motion im
A treatise on orthopedic surgery . A pelvic support in use. The patient presents fixed flexion to 135 degrees, andfixed adduction of 35 degrees. culous disease of the lungs, periods of rest alternating with anactivity regulated by the symptoms. It is a compromise be-tween the treatment of the local disease and the effect of thistreatment upon the limb and upon the patient. Thus, acutesymptoms at any stage of the disease indicate the long spicaand traction; discomfort, a lessened activity and relief fromweight bearing. If, however, the local disease is quiescent,weight bearing without motion improves the nutrition of thelimb and that of the body in 370 OETHOPEDIC SUSGEEY. Applicatiox of Plastee Splixts.—The long spica is oftenapplied in out-patient practice. It is a better protection thanthe less comprehensive fonxis in that it prevents movements ofthe leg, diminishes the jar on a sensitive joint and enclosingthe foot lessens the danger of oedema in the exposed extremity. Fig. 259. Fig. The short spica of the Lorenz type showingthe adjustment to the pelvis. Hear view of the short spica. If, however, the disease is acute rest in bed with traction in themanner described is indicated. A plaster splint to assure support should fit perfectly, conse-quently it should be applied with as little padding as is prac-ticable. A covering of shirting, such as is used in the applica- TUBEECULOUS DISEASE OF THE HIP-JOINT. 371 tion of the plaster jacket, is fitted tO the body and the limbreinforced with one or more layers of cotton flannel bandage,those parts that are likely to be subjected to pressure—the toes,the heel, the malleoli, the condyles of the femur, the sides of thepelvis, the anterior superior spines, and the thorax—beingfurther protected by cotton wadding or other material. Theplaster bandage should cover the lower half of the thorax, and itshould extend to the ends of the toes. It should be applied under Fig. 261.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
