A treatise on orthopedic surgery . etcher frame, showing the canvas cover and apron. and increasing the leverage of the apparatus. The child,wearing only an undershirt, stockings, and diaper, is placedupon the frame and is fixed there usually by a front piece orapron similar to that used with the spinal brace. As soon asthe patient has become accustomed to the restraint one beginsto overextend the spine by bending the bars from time to timewith the aim, as has been stated, of actually separating thediseased vertebral bodies and obliterating all the physiologicalcurves of the spine, so that the
A treatise on orthopedic surgery . etcher frame, showing the canvas cover and apron. and increasing the leverage of the apparatus. The child,wearing only an undershirt, stockings, and diaper, is placedupon the frame and is fixed there usually by a front piece orapron similar to that used with the spinal brace. As soon asthe patient has become accustomed to the restraint one beginsto overextend the spine by bending the bars from time to timewith the aim, as has been stated, of actually separating thediseased vertebral bodies and obliterating all the physiologicalcurves of the spine, so that the body shall be finally bent back-ward to form the segment of a circle. The greatest convexityis at the seat of the disease, and as the head and lower extremi-ties are on a much lower level, an element of gravity traction 70 OBTHOPEDIC SURGE BY. is present in some instances, while the support of the spine, asa whole, is much more comprehensive than when the body liesupon a plane surface (Fig. 32). The gradual overextension Fig. The frame bent to assure overextension of the spine. The rapid recession ofdeformity in this case is shown by the tracings, Fig. 28. of the spine by bending the frame in this manner is so definiteand simple that it may be easily carried out by the physician,and it may be exaggerated slightly, to compensate for thesagging of the cover. Thus, it is far more effective than anyform of padding placed on a flat surface, or other form of sup-port with which I am familiar. Upon this frame the child liesconstantly, its clothing being made sufficiently large to includethe apparatus, thus assuring additional fixation. Once a day orless often, the child is removed from the frame and is carefullyturned, face downward, upon a large pillow; the back is then Fig. 33.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
