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A treatise on orthopedic surgery . 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 include
A treatise on orthopedic surgery . 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. The modified stretcher frame showing overextension of the spine, with trac-tion for the head and limbs as applied for Potts paraplegia. Caused by diseasein the upper dorsal region. (See Fig. 56.) inspected, bathed with alcohol and powdered, and the apparatusis then reapplied. It is, of course, desirable to have twoequipped frames, but this is by no means essential. TUBERCULOUS DISEASE OF THE SPINE. 71 The effect of the continued fixation upon the back is notmerely to change the contour of the spine, but of the entire trunkas well; to flatten and broaden the body. This increase of thelateral at the expense of the anteroposterior diameter is quitethe reverse of the natural tendency of the deformity, and it is,therefore, a favorable rather than an unfavorable effect of thetreatment. The same tendency in the lower region may bechecked by the use of a flannel binder, such as is ordinarilyworn by infants. Fig. 34.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910