. The diseases of children : medical and surgical. Fig. 164. —Thomass Hip Splint adjustedfor a case with no deformity. Fig. 163.—Thomas s Hip Splint, applied. Slightlyaltered from Mr. Thomass work on the Hip,Knee, and Ankle. out, to be looked upon rather as an ordinary operation for necrosed bonethan anything more formidable ; and that this is the state of the joint evenin cases often spoken of as those of early disease is the fact upon which weshould like to lay stress. While we advise excision in all cases in which the ^\ in spiteof adequate treatment, we have come to the be
. The diseases of children : medical and surgical. Fig. 164. —Thomass Hip Splint adjustedfor a case with no deformity. Fig. 163.—Thomas s Hip Splint, applied. Slightlyaltered from Mr. Thomass work on the Hip,Knee, and Ankle. out, to be looked upon rather as an ordinary operation for necrosed bonethan anything more formidable ; and that this is the state of the joint evenin cases often spoken of as those of early disease is the fact upon which weshould like to lay stress. While we advise excision in all cases in which the ^\ in spiteof adequate treatment, we have come to the belief that modern methods ofabscess treatment and efficient use of splints have enabled us to reduce thenumber of excisions. Thus in seven years, 1886-93, 83 excisions were per-formed, while in five years, 1894-1898, 31 excisions of the hip were doneat the Childrens Hospital by the writer. It is necessary of course to distinguish sharply between abscess the z z 7o6 Hip Disease result of progressive disease and residual abscess ; it is
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