A treatise on orthopedic surgery . the V70rds of Mr. Thomas: The fitting although sometimessuccessful in one visit, may at other times occupy many surgeon should mould, by reducing or increasing thevarious curves, until the instrument ceases to tend to rotate, andat none of its angles irritates the patient. He concludes, in ageneral answer to the criticisms that have alwavs been made on 366 OETHOPEDIC SUEGEBY. the difficulty of adjustment of the appliance, as follows: WhatI can invariably do must be possible to others. Treatment by Plaster Supports.—The treatment of hip diseasei
A treatise on orthopedic surgery . the V70rds of Mr. Thomas: The fitting although sometimessuccessful in one visit, may at other times occupy many surgeon should mould, by reducing or increasing thevarious curves, until the instrument ceases to tend to rotate, andat none of its angles irritates the patient. He concludes, in ageneral answer to the criticisms that have alwavs been made on 366 OETHOPEDIC SUEGEBY. the difficulty of adjustment of the appliance, as follows: WhatI can invariably do must be possible to others. Treatment by Plaster Supports.—The treatment of hip diseasein the more important clinics of this country has greatly changedin recent years, and fixation of the diseased joint is now gen-erally recognized as the most important element of mechanicaltreatment, the conclusion of Thomas already quoted. There is a further tendency to shorten the period of completeinactivity and to permit weight bearing when it causes no dis-comfort. Thus, on the one hand, to lessen the burden on the Fig. The short plaster spica, combined with traction used after reduction of deformity. patient and on the other to check the atrophy, loss of growth andmuscular and ligamentous relaxation that follow complete andprolonged disuse of the limb. This modification of treatment as applied in hospital servicemay be outlined as follows: Deformity, if present, is at once reduced under ansesthesiaby traction and gentle leverage, and the limb is placed in fullextension and 15 degrees of abduction. Traction plasters hav-ing been applied to the limb a spica plaster support, reachingfrom the ankle to the mammary line, carefully moulded aboutthe pelvis and hip, is adjusted. The patient is then placed inbed with a traction weight of ten pounds or more. This treat-ment is continued until all acute symptoms have subsided, awheeled couch on which the patient lies talking the place of thebed during the day. The immediate correction of deformityfollowed by fixation in the de
Size: 2408px × 1037px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
