. Manual of operative surgery. nth, it took four attemptsto get a satisfactory amount of abduction. In the others, from two to tenand one-half years, satisfactory reduction was accomplished at a single seance. Fixation: Applying the Plaster Bandage.—Reduction having been ac-compUshed, the child is turned on its back and placed on a pelvic support(Fig. 1265) with the limbs in the desired position, either projecting out at rightangles to the body or flexed or adducted to the extent desired. We put thelimb up in extreme abduction for the first dressing and invert it and lessenthe abduction at the
. Manual of operative surgery. nth, it took four attemptsto get a satisfactory amount of abduction. In the others, from two to tenand one-half years, satisfactory reduction was accomplished at a single seance. Fixation: Applying the Plaster Bandage.—Reduction having been ac-compUshed, the child is turned on its back and placed on a pelvic support(Fig. 1265) with the limbs in the desired position, either projecting out at rightangles to the body or flexed or adducted to the extent desired. We put thelimb up in extreme abduction for the first dressing and invert it and lessenthe abduction at the second dressing. A strip of flannel bandage is laid onthe leg next the skin, long enough to project considerably beyond the edgesof the plaster. This is to be used for cleaning purposes, being pulled to andfro at intervals while the bandage is being worn. The limb and pelvis are covered either with a flannel bandage or stockinetteand felt pads placed on the sides of the pelvis and inner surfaces of the knee to FLXATION IOI9. Fig. 126^. avoid pressure sores. The plaster bandage is then applied in the form of aspica embracing the thigh and pelvis. If internal rotation is desired, theplaster must include a part of the leg below the knee. In order to strengthenthe bandage and prevent reluxation a strip of strap-iron can be placed in theposterior part of the bandage running down from the pelvis to the thigh. Feltpads can be placed beneath this strip between it and the trochanter so as toforce and maintain the head as far anterior as is desired (Fig. 1266). If bothlimbs are placed in internal rotation as suggested by Schede and advised byMueller the patient sleeps on a suspended or supported Bradford frame (Fig,1267) with the legs hanging down over its sides. If only one side is involvedthe patient can sleep on an ordinary bed with the leg hanging over its edge. The first plaster dressing is left on from oneto three or five months. If the tendency to re-luxation is slight the dres
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