A treatise on orthopedic surgery . y be cut short at one end and re-moved. This method is of senace in the treatment of weak or para-lyzed patients, but the adjustment is somewhat less satisfactorythan by the ordinary method in that the fixation of the thoraxis less accurate. The jacket may be applied in the supineposture by means of the Goldthwait apparatus. This may beemployed also in the routine application of the plaster jacket. 88 OBTEOPEDIC SUBGEBY. It consists essentially of a support (Fig. 51) carrying on itsupper extremities two thin strips of perforated metal. To thesestrips felt is
A treatise on orthopedic surgery . y be cut short at one end and re-moved. This method is of senace in the treatment of weak or para-lyzed patients, but the adjustment is somewhat less satisfactorythan by the ordinary method in that the fixation of the thoraxis less accurate. The jacket may be applied in the supineposture by means of the Goldthwait apparatus. This may beemployed also in the routine application of the plaster jacket. 88 OBTEOPEDIC SUBGEBY. It consists essentially of a support (Fig. 51) carrying on itsupper extremities two thin strips of perforated metal. To thesestrips felt is attached, forming pads similar to those used on theback brace. The patient is then placed with his back resting onthe pads at the seat of the disease. The buttocks and the headare allowed to sink downward to the point of toleration; thus anextending force is exerted on the spine. The plaster bandagesare then applied in the usual manner about the body on eitherside of the support. When it is completed the patient is lifted Fig. The application of the jacket in the recumbent posture by means of the Gold-thwait appliance; A, the support, similar to that upon which the patient islying; B, two thin bands of steel, similar to those used in the Taylor brace. from the support, the pads being included, of course, in thejacket. An opening remains at this point that may be closed byan additional bandage. Other supports of a similar nature are in use, but as they donot differ from it in principle a detailed description is unneces-sary (Figs. 52 and 53). If the deformity is of recent origin it may be actually cor-rected by the leverage exerted, but in many instances the hyper-extension takes place in the unaffected parts of the spine, par- TUBEECULOUS DISEASE OF THE SPINE. 89 ticularly in the lumbar region. Thus the correction is ap-parent rather than actual. In order to prevent this and to exertmore effective leverage on the deformity Goldthwait uses theapparatus illustrated in Fig. 5
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
