A treatise on orthopedic surgery . the contrary, the motionthat cannot be prevented isexcused because it is believedthat no more effective protec-tion can be attained by anymethod of ambulatory treat-ment. In all acute cases a periodof rest in bed with traction tothe point of actual distrac-tion is advised. When am-bulation is resumed the bracedlimb is made pendent bymeans of the high shoe andcrutches, so that uninter-rupted traction may still beexerted, and the brace is onlyused as a supporting appli-ance when the symptoms in-dicate that the disease is quiescent. In hospital practice, th
A treatise on orthopedic surgery . the contrary, the motionthat cannot be prevented isexcused because it is believedthat no more effective protec-tion can be attained by anymethod of ambulatory treat-ment. In all acute cases a periodof rest in bed with traction tothe point of actual distrac-tion is advised. When am-bulation is resumed the bracedlimb is made pendent bymeans of the high shoe andcrutches, so that uninter-rupted traction may still beexerted, and the brace is onlyused as a supporting appli-ance when the symptoms in-dicate that the disease is quiescent. In hospital practice, the decisive test of efficiency, the originalhip brace, has been in great degree discarded as ineffective inrelieving the symptoms and in preventing deformity. In its place the long traction brace in some form is now usedas providing better fixation. This is illustrated in Fig. 240. To the pelvic band of thetraction brace a bar is attached which extends in the axillaryline to about the middle of the scapula where it supports a chest. The long, inexpensive brace, witli solidupright, showing the perineal bands andthe adhesive plaster, as used in hospitalpractice. 356 OBTHOPEDIC SUBGEEY. band of thin metal covering about three-fourths of the thorax,the circumference as at the pelvis being completed bj a brace should be constructed so as to hold the limb in about15° of abduction. If it is i3roperlj adjusted, it assures prac-tical fixation of the joint. The efficiency of the apparatus may be still further increasedbj replacing the perineal bands with a metallic ring. This ring,which fits the upper extremity of thigh closely, is attached tothe upright at an inclination corresponding to the line of thegroin (Fig. 242). (The Thomas ring is described fully in con- FiG. 241.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
