Lectures on orthopedic surgery . Fig. 42.—Elastic head-traction to bed-frame. presence of cervical spondylitis, less so in lumbar anddorsal disease. It is of value when inflammation isprogressive and when paraplegia complicates. It is anefficient aid in reducing to a minimum the pain and in-crease of deformity from muscular spasm during the 70 formation of an abscess. Traction does not appear toseparate healthy articular surfaces or diseased ones afterthe reparative process has commenced. It does, however,at times reduce the deformity, apparently by separat-ing the contiguous carious surfaces,
Lectures on orthopedic surgery . Fig. 42.—Elastic head-traction to bed-frame. presence of cervical spondylitis, less so in lumbar anddorsal disease. It is of value when inflammation isprogressive and when paraplegia complicates. It is anefficient aid in reducing to a minimum the pain and in-crease of deformity from muscular spasm during the 70 formation of an abscess. Traction does not appear toseparate healthy articular surfaces or diseased ones afterthe reparative process has commenced. It does, however,at times reduce the deformity, apparently by separat-ing the contiguous carious surfaces, and this withoutpain or any ascertainable untoward results. In cases successfully treated by Mr. Jones the littlepatients are strapped on canvas stretched on a framethat rests on the bed on four short legs. Straps are placed. Fig. 43.—Fixed traction from head to bed-frame, withweight-and-pulley traction from pelvic girdle. that fix the shoulders and thighs to the canvas, andholes opposite the anus and perineum assure easy egressto excretions. By this device the patients can bemoved about without interfering in any way with thediseased vertebrae. Sayre uses the wire cuirass withhead-sling and traction from the feet; this apparatuscannot be readily obtained and is expensive. Steele,of St. Louis, attains the same end by a portablestretcher-bed, consisting of a forged, oblong frame offlat bar-iron, made somewhat longer and slightly widerthan the patient, over which are snugly stretched twopieces of strong canvas, one reaching from the buttocksto the top of the frame and the other from just belowthe buttocks to the bottom of the frame, the space be-tween the two being left for the use of the this stretcher the patient is placed, strapped down 71 at the shoulders and hips, and traction is made from
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
