American practice of surgery : a complete system of the science and art of surgery . Fig. 276.—Traction Frame for the Application of Extension in the Line of the Deformity inTuberculous Hip-joint Disease. The frame is shown in use in Fig. 277. an anaesthetic, and, while an assistant holds the lumbar spine flat uponthe table by flexing the sound thigh firmly upon the abdomen, forcibly to. Fig. 277.—Traction Frame Devised for the Purpose of Supporting the Limb and Applying Exten-sion in the Line of the Deformity in Tuberculous Hip-joint Disease. (Original.) reduce the deformity by a pump-handle
American practice of surgery : a complete system of the science and art of surgery . Fig. 276.—Traction Frame for the Application of Extension in the Line of the Deformity inTuberculous Hip-joint Disease. The frame is shown in use in Fig. 277. an anaesthetic, and, while an assistant holds the lumbar spine flat uponthe table by flexing the sound thigh firmly upon the abdomen, forcibly to. Fig. 277.—Traction Frame Devised for the Purpose of Supporting the Limb and Applying Exten-sion in the Line of the Deformity in Tuberculous Hip-joint Disease. (Original.) reduce the deformity by a pump-handle leverage action. It is wise to drawthe patient to the end of the table in order that the flexion can be over-corrected 668 AMERICAN PRACTICE OF SURGERY. and that there may be no elastic tendency to recurrence when the fixationapparatus is applied. Care must be taken in this procedure that the force ap-plied docs not produce a fracture of the neck of the femur, which is a possi-bility if due caution be not observed. At the same time the adduction and ex-ternal or internal rotation should be corrected, the limb being put up with thefoot and knee directed but slightly outward and the thigh in moderate abduc-tion. The maintenance of abduction is of great importance, as this is theattitude which causes apparent lengthening and consequently neutralizes anyactual shortening that may h
Size: 2138px × 1169px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
