Preparatory and after treatment in operative cases . of the ten-dency of the leg to fly out whenthe wearer is sitting and un-guarded. HIP-JOINT AMPUTATIONS Hip-joint amputations require conditions of ap-paratus quite similar to that just described, exceptthat suspension is more complex. For the purposean appliance such as is shown in Fig. 419 is ser-viceable. The waist belt and suspenders hold thelimb in apposition to the pelvis. Figs. 420, 421,and 422 show the appliance in place. The lattershows the conditions when the patient is seated. AMPUTATIONS OF UPPER EXTREMITIES Artificial appliances
Preparatory and after treatment in operative cases . of the ten-dency of the leg to fly out whenthe wearer is sitting and un-guarded. HIP-JOINT AMPUTATIONS Hip-joint amputations require conditions of ap-paratus quite similar to that just described, exceptthat suspension is more complex. For the purposean appliance such as is shown in Fig. 419 is ser-viceable. The waist belt and suspenders hold thelimb in apposition to the pelvis. Figs. 420, 421,and 422 show the appliance in place. The lattershows the conditions when the patient is seated. AMPUTATIONS OF UPPER EXTREMITIES Artificial appliances following amputations atthe upper extremities do not, of couse, involve quitethe same problem as obtains with those of the lowerextremity. Cosmetic effect plays an importantpart in this connection, and this is readily con-served by mechanical means. Amputation of thehand lessens greatly the utility of the limb. How-ever, if the forearm is intact, an artificial appli- Fig. 423.—Ap-pliance FORAmputationof Hand. AMPUTATIONS OF UPPER EXTREMITIES 629. ance such as is shown in the illustration (Fig. 423) will be foundof service. Amputations through the forearm are fitted withmuch the same style of apparatus. Amputations above the elbow joint are fitted with an appliancewhich is fitted with aspring permitting offlexion of the 424 shows anapparatus of thissort. Disarticulationat the shoulder jointis also followed bythe application ofapparatus which con-serves cosmetic ef-fect, but, of course,utility is not achievedby this means, except by the exercise of a complicated mechanism which is of necessityoperated for a given purpose by the opposite hand. The greatest achievement in the part of artificial appliancesfollowing amputations is the aid given the afflicted in addition to this, the usefulness of certain kinds of stumps invarious portions of the limbs as applied to subsequent prothesishas been developed to no small degree, as the outcome of the arti-sans la
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
