. Buffalo medical journal. .—The Patent Splint, Adjustive High Shoe and Crutch. Fig. 6. After a time, for my poor patients in the hospitals and dis-pensaries, I succeeded in perfecting: a cheap splint, which appliesthe principle of fixation and traction in the line of the neck. A g^lance at the cuts will convey the idea. Fig-s. 2. 3, 4 and6 are the sing-le and Fig:. 5 the double splint for double hipdisease. The splint is a bar of steel, extending: from the foot tothe axilla, accurately bent to fit the body. A tracing: made onpaper by laying- the child on it will assist in shaping- the bar. 94
. Buffalo medical journal. .—The Patent Splint, Adjustive High Shoe and Crutch. Fig. 6. After a time, for my poor patients in the hospitals and dis-pensaries, I succeeded in perfecting: a cheap splint, which appliesthe principle of fixation and traction in the line of the neck. A g^lance at the cuts will convey the idea. Fig-s. 2. 3, 4 and6 are the sing-le and Fig:. 5 the double splint for double hipdisease. The splint is a bar of steel, extending: from the foot tothe axilla, accurately bent to fit the body. A tracing: made onpaper by laying- the child on it will assist in shaping- the bar. 94 PHELPS : TUBERCULAR DISEASE OF THE SPINE AND HIP. A pelvic belt, a thoracic belt, and a steel perineal ring- completethe fixation part of the splint. The straps in the foot-piecebuckle to adhesive straps attached to the leg:, which make long-i-tudinal traction. The strap lashes the leg: to the splint, making:lateral traction precisely as the abduction bar acts in Fig:. 3-An ordinary blacksmith can construct this Splint. Fig. 8. Fig:s. 8 and g, illustrate the anatomy of the muscles surround-ing: the liip-joint. These muscles, when affected by spasm, act ina line parallel with the axis of the neck of the bone, hence thenecessity of lateral traction to overcome intraarticular :, lo shows how comfortably a patient can sit with the lateraltraction fixation splint, fully as comfortably as with a long: trac-tion splint. PHELPS : TUBERCULAR DISEASE OF THE SPINE AND HIP. 95 Belore this or any other splint is adjusted, however, the patientshould be treated in bed until deformity is overcome and theactive stag-e of the disease somewhat modified. To conclude, my observations lead me to believe that the mostserious element of destruction in hip-joint disease is the traumaand pressure produced by thejspasm of the muscle; that fixation
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicin, bookyear1902
