A treatise on orthopedic surgery . ong continued splinting of a joint causes temporaryfixation yet as a rule functional use will restore all the motionof which the part is capable. In other infiammatory affectionsof the joint the violence of the inital process may be restrainedby the local application of cold or heat, or by the removal of thecontents of the joints if the infection is severe. In all cases thejoint should be properly supported in order to relieve pain andto prevent deformity. Passive Motion.—When the acute symptoms have subsided theabsorption of the plastic material may be haste
A treatise on orthopedic surgery . ong continued splinting of a joint causes temporaryfixation yet as a rule functional use will restore all the motionof which the part is capable. In other infiammatory affectionsof the joint the violence of the inital process may be restrainedby the local application of cold or heat, or by the removal of thecontents of the joints if the infection is severe. In all cases thejoint should be properly supported in order to relieve pain andto prevent deformity. Passive Motion.—When the acute symptoms have subsided theabsorption of the plastic material may be hastened by massage, 300 OETHOPEDIC SUEGEEY. tlie hot-air batli, and the like, and by carefully regulated passiyeand actiye motion. Passiye congestion after the method ofBier is also of yalue.^ In the final stage, when there is no longerevidence of active disease, passive movements under anaesthesiamay he of service in breaking adhesions, especially if these arewithout the joint. Passive movements that cause persistent dis- FiG. A useful form of brace for weak knee, in which the range of motion is regu-lated by means of an adjustable wheel. (Shaffer.) comfort or pain, which are often employed in the treatment ofstiif joints, even when the disease is active, are absolutely contra-indicated. If, however, the limb during the course of the diseasehas become deformed, it should be restored to its proper positionas soon as possible, even though force is required. This treat-ment is indicated in order to prevent or to overcome secondaryretraction of the muscles and fasciae. ^ Blecher, Deutsche Zeits. f. Chir., Bd. Ix., p. 250. NON-TUBEECULOUS DISEASES OF THE JOINTS. 301 Fig. 206. Forcible Correction.—The class of cases in which the limb hasbecome fixed in deformity is the most favorable one in which toperform the so-called brisement force, because the rectificationof deformity is always indicated, and in accomplishing thisthere is always the prospect of re-gaining a certain degre
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