A treatise on orthopedic surgery . Forcible flexion of the extended limb on the abdomen. Second step in the operation. Fig. Forcible extension of the thigh. Third step in the operation. CONGENITAL DISLOCATION OF HIP AND COXA VAEA. 551 is forced downward behind the plane of the body, or the patientmay be turned upon the side, as in Eig. 361. After this pre-liminary stretching, traction is made upon the limb, and ifwith slight effort the trochanter can be drawn down to ISielatonsline reduction is attempted. Reduction.—The pelvis having been fixed as in the first posi-tion, the limb is slow


A treatise on orthopedic surgery . Forcible flexion of the extended limb on the abdomen. Second step in the operation. Fig. Forcible extension of the thigh. Third step in the operation. CONGENITAL DISLOCATION OF HIP AND COXA VAEA. 551 is forced downward behind the plane of the body, or the patientmay be turned upon the side, as in Eig. 361. After this pre-liminary stretching, traction is made upon the limb, and ifwith slight effort the trochanter can be drawn down to ISielatonsline reduction is attempted. Reduction.—The pelvis having been fixed as in the first posi-tion, the limb is slowly and forcibly abducted over a wedge ofwood suitably padded, the apex of which is placed between thetrochanter and the pelvis (Fig. 362). As the limb is graduallyforced downward to and behind the plane of the body, the headof the femur is forced upward until it finally snaps over the pos-terior border of the acetabulum. Reduction is usually accom- FiG. 362.


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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910