Diseases of the hip, knee, and ankle joints and their treatment by a new and efficient method . ittle control over the move-ments of the joint. Painless nursing of the 10 patient is impossible with his appliance, a faultpossessed alike by all the others to which Ihave referred.—Plate 1, Jig. 9. Professor Hamilton s apparatus for hip joint dis-ease, as described in Tinemann & Catalogue,seems constructed to control the movements of thejoint, but is not of much value, and I can bestconvince the reader of this by referring him toplate 1, fig. 10, which is taken from the abovecatalogue; in thi
Diseases of the hip, knee, and ankle joints and their treatment by a new and efficient method . ittle control over the move-ments of the joint. Painless nursing of the 10 patient is impossible with his appliance, a faultpossessed alike by all the others to which Ihave referred.—Plate 1, Jig. 9. Professor Hamilton s apparatus for hip joint dis-ease, as described in Tinemann & Catalogue,seems constructed to control the movements of thejoint, but is not of much value, and I can bestconvince the reader of this by referring him toplate 1, fig. 10, which is taken from the abovecatalogue; in this instrument the upper andlower lever are too short. Finally, we come to the old-fashioned longsplint, which, when applied from the axilla downto the ankle, is an instrument possessing meritsbeyond any of those I have previously dis-cussed ; yet, it has its faults, as, being appliedlaterally, it can only partially control the jointmovements, and the nursing of the patient isnot without pain. The design that I shall submit to the pro-fession is free from the defects of all the previous. 11 appliances; is cheap, and within the reach ofthe poorest; is light, and can be applied underthe clothes without much disfigurement to thepatients appearance, and enables the attendantto nurse and handle the patient about as thoughhe were a toy, and without pain.—See plate 2. I have not entered into the demerits of theshellac, silicate of potash, and other solutions, asthey do not admit of being applied beyond thepelvis; consequently they have a serious practicaldefect in being short of trunk leverage to balancethe limb portion. I will conclude by reference to the methodof treatment by weight and pulley, whichamounts to no more than confinement to H. G. Davis, the author of the perinealsystem of treatment of hip joint disease, iscredited with having suggested the use in hipaffections of this useless, and, worse than useless,deceptive method of treatment. Our Transatlantic brethren d
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