Lectures on orthopedic surgery . mes a second strap is added. Should the deformity be an extensive one and theangle formed by the spinesof the diseased vertebrae beacute, one or both of twoprocedures may be neces-sary. The leather betweenthe frame and over thekyphosis may have to besplit, so that no pressure isexercised over sharp pro-jecting bone ; or, in addi-tion, a bar of iron may beso placed over the pro-jection as to render therecumbent position easy(Fig. 67). In exceptional cases,when the superincumbentspine falls considerablyforward, traction is madeby the shoulder-straps to-ward the c
Lectures on orthopedic surgery . mes a second strap is added. Should the deformity be an extensive one and theangle formed by the spinesof the diseased vertebrae beacute, one or both of twoprocedures may be neces-sary. The leather betweenthe frame and over thekyphosis may have to besplit, so that no pressure isexercised over sharp pro-jecting bone ; or, in addi-tion, a bar of iron may beso placed over the pro-jection as to render therecumbent position easy(Fig. 67). In exceptional cases,when the superincumbentspine falls considerablyforward, traction is madeby the shoulder-straps to-ward the cuirass, which, insuch cases, in order to^^«- ^^--^^^ ^^^^^ ^^^^^^ ^^*^ , bridge for use during recumbency allow of a pull, is not fitted -when the deformity is severe. accurately to the upper portion of the back. In lumbar disease, or when thereis psoas-contraction, a leg-piece is added, ending closeabove the knee, to prevent movement of the limb andtraction upon the vertebrae. One of us (R. J.) uses this support largely. It is. 102 comparatively cheap and cleanly. It can be removedat intervals while the back is cleansed, and a sheet ofcotton wadding inserted between the support and theskin. It need not be removed oftener than twice aweek. This cleansing should always take place whilethe patient lies on his face, with arms outstretchedabove the head. The special value of this support con-sists in the length of thespine that it controls. Itreaches the seventh cer-vical vertebra above, andby its action on theshoulders partly governsthe upper dorsal vertebrae,while below it extends tothe trochanteric regionsand is there assisted bygroin-straps. There is noundue pressure upon chestor muscles, and, with care,no danger of sores or ex-coriation. It is easilyworn and is never uncom-fortable and in no way in-terferes with recumbency. FIG. cuirass with leg-attach- ^^ ^rdcr to meaSUrC forment for reducing hip-deformity, and the Splint the patientfor treating hip-disease when c
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
