A treatise on orthopedic surgery . e another, and that it may fit the projections of the pelvisand body closely. Meanwhile the attitude of the patient shouldbe carefully watched, in order to prevent lateral inclination ofthe body. It is often possible while the patient is suspended tocorrect the deformity still further by backward traction on theshoulders and forward pressure on the trunk while the jacketis hardening. When the jacket is nearly firm it should be trimmed. Inmany instances this may be done while the patient is in the TUBEBCULOUS DISEASE OF THE SPINE. 79 swing, but if he is fatigu
A treatise on orthopedic surgery . e another, and that it may fit the projections of the pelvisand body closely. Meanwhile the attitude of the patient shouldbe carefully watched, in order to prevent lateral inclination ofthe body. It is often possible while the patient is suspended tocorrect the deformity still further by backward traction on theshoulders and forward pressure on the trunk while the jacketis hardening. When the jacket is nearly firm it should be trimmed. Inmany instances this may be done while the patient is in the TUBEBCULOUS DISEASE OF THE SPINE. 79 swing, but if he is fatigued he may be placed in the recumbentposture. As a rule, the front of the jacket should reach from the uppermargin of the sternum to the pubes; behind, from about themidline of the scapulae to the gluteal fold; laterally, it should becut away sufficiently to prevent chafing of the arms; and oneither side of the pubes an oval section is cut out, to allow forthe flexion of the thighs in the sitting posture. Particular atten- FiG. The jury-mast and tbe anterior support. tion is called to the importance of making the jacket as long aspossible, so that the abdomen may be contained within it insteadof being forced out beneath its lower border (Fig. 40). Afterthe application of the jacket the patient should remain in therecumbent posture for at least half an hour or longer, as it doesnot become absolutely firm for several hours. The shirt is thendrawn up over the jacket and is sewed to the neck portion; thisadds much to neatness and cleanliness. The shirt must bedrawn tightly about the neck, in order to guard the body fromthe crumbs or other objects that may fall beneath the jacket, 80 OBTHOPEDIC SUBGEBY. and in many instances a special protector in the form of a widecollar bib may be used with advantage. The upper and lower ends of the cleansing bandages arejoined to one another with tape, and with them the skin is care-fully rubbed twice daily. When soiled they may be replaced.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
