. Virginia medical semi-monthly. , causestrauma of the joint while walking, and nearlyevery splint that I have seen adjusted allowsthe patient to put his toe upon the ground,which, of course, drives the head of the bone into the acetabulum each time the patient pumping of the head of the bone back-wards and forwards into the joint at the rateof 2,U00 times an hour each day, as the childruns, accounts for the disastrous results whichwe see published from institutions where thissplint is used. Angular deformity, wluch pro-duces shortening, nearly always results fromthe use of this spl
. Virginia medical semi-monthly. , causestrauma of the joint while walking, and nearlyevery splint that I have seen adjusted allowsthe patient to put his toe upon the ground,which, of course, drives the head of the bone into the acetabulum each time the patient pumping of the head of the bone back-wards and forwards into the joint at the rateof 2,U00 times an hour each day, as the childruns, accounts for the disastrous results whichwe see published from institutions where thissplint is used. Angular deformity, wluch pro-duces shortening, nearly always results fromthe use of this splint. The statistics publishedby Shaffer and Lovett, in the New York Medi-cal Journal, from the Fifty ninth Street Ortho-paedic Dispensary, in thirty-nine cases reportedon in a series of many hundreds: Ankylosis 1.) | Motion from 10 7 Slight Motion 6 Motion to right angle 3 Motion free 3 25 I The three with free motion were treatedduring the first stage of the disease; two wereunder three years old. There were only two. Fig. 1.—The Cheap Dispensary Fig. 2.—Inside Bar and LateralSplint. Tractions. cases without shortening. The .splint used wasthe long traction, which I have already de-scribed—one which admits of free motion atthe hip joint, and the patient is allowed towalk npon it. This splint was devised duringa time when it was believed that fixation wouldproduce aukylosis of the joint, and that motionwas necessary to keep up the nutrition of thejoint. It is needless to say that we have out-grown both of those ideas. The statistics ofChambers Street Hospital ol fifty consecutivefractures of the elbow joint, treated by Powers, now of Denver, Col., show 398 THE VIRGINIA MEDICAL SEMI-MONTHLY. [October 21 only one case of ankylosis. These patientswere fixed in plaster-of-Paris for many weeks,without passive motion. In the Post-GraduateHospital and University Dispensary we fixour cases of hip joints from one to five yearswithout motion, with the lateral
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