A treatise on orthopedic surgery . Box with adjustable sacral support of the model used for theapplication of the plaster spica. direct pressure is removed from its up]ier surface and the corre-sponding surface of the acetabulum, those points which mostoften present evidence of pressure erosion. TUBEECULOUS DISEASE OF TEE HIP-JOINT. 369 If the patient is seen early before deformity has appeared theshort spica is applied without preliminary traction and locomo-tion is permitted if the symptoms indicate that the joint willtolerate it. This treatment in which the degree of protection is a
A treatise on orthopedic surgery . Box with adjustable sacral support of the model used for theapplication of the plaster spica. direct pressure is removed from its up]ier surface and the corre-sponding surface of the acetabulum, those points which mostoften present evidence of pressure erosion. TUBEECULOUS DISEASE OF TEE HIP-JOINT. 369 If the patient is seen early before deformity has appeared theshort spica is applied without preliminary traction and locomo-tion is permitted if the symptoms indicate that the joint willtolerate it. This treatment in which the degree of protection is adaptedto the character of the disease differs from that of Lorenz, whichis practically a routine ambulatory treatment by the short spica,as decidedly as from the routine treatment by braces. The principles are those that govern the treatment of tuber- FiG. A pelvic support in use. The patient presents fixed flexion to 135 degrees, andfixed adduction of 35 degrees. culous disease of the lungs, periods of rest alternating with anactivity regulated by the symptoms. It is a compromise be-tween the treatment of the local disease and the effect of thistreatment upon the limb and upon the patient. Thus, acutesymptoms at any stage of the disease indicate the long spicaand traction; discomfort, a lessened activity and relief fromweight bearing. If, however, the local disease is quiescent,weight bearing without motion improves the nutrition of thelimb and that of the body in 370 OETHOPEDIC SUSGEEY. Applicatiox of Plastee Splixts.—The long spica is oftenapplied in out-patient practice. It is a better protection thanthe less comprehensive fonxis in that it prevents movements ofthe leg, diminishes the jar on a sensitive joint and enclosingthe foot lessens the danger of oedema in the exposed extremity. Fig. 259. Fig. 260.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
