American medical digest. . sthe first that I have ever seen or evenheard of. It will be remembered that I have,in these pages, repeatedly recordedexceptional phenomena (suppressionof urine, serious mental disturbances,somnambulism, etc.), referable to thelocal use of atropine after cataract andstrabismus operations. Such manifesta-tions are evidently due to idiosyncrasiesof the individual patients, and of coursecannot be foreseen or guarded against.—Ibid. SURGERY. 161 FRACTURES, DISLOCATIONS, INJU-RIES, TUMORS, &c. Krohnes Modification or Thomas DoubleHip Splint for the Treatment of Diseasesan
American medical digest. . sthe first that I have ever seen or evenheard of. It will be remembered that I have,in these pages, repeatedly recordedexceptional phenomena (suppressionof urine, serious mental disturbances,somnambulism, etc.), referable to thelocal use of atropine after cataract andstrabismus operations. Such manifesta-tions are evidently due to idiosyncrasiesof the individual patients, and of coursecannot be foreseen or guarded against.—Ibid. SURGERY. 161 FRACTURES, DISLOCATIONS, INJU-RIES, TUMORS, &c. Krohnes Modification or Thomas DoubleHip Splint for the Treatment of Diseasesand Injuries of the Spine. The well known Thomas doublesplint for disease of one or both hipjoints (Fig. i) is rendering great servicein the treatment of that affection. has added to this splint a pel-vic band, a support for the shoulders,neck and head, and two sliding footpieces, as shown in Fig. 2. The twoupright bars are made after the shapeof a healthy, normally formed childwhen in the recumbent Fig. 1. Fig. 2. Fig. 3. They give posterior support to bothsides of the spine. The two cross-bars,the pelvic band, and the band reachingto below the axillae, support the pelvisand body laterally. The lower extrem-ities are kept in position by cross-barssupporting the thigh and lower third ofleg. The rest of the splint consists ofthe support for the shoulders, neck, head and both feet, so that the entirebody is supported, as shown in Fig. 3. The first object in the treatment ofspinal caries, weak or injured spine, isto devise means whereby the weight ofthe head and upper extremities is takenoff the spine. This is obtained byplacing the child and retaining it dur-ing the whole time of treatment in theuninterrupted recumbent position. Bythe-aid of this splint the surgeon isenabled to carry out this treatment, andthe splint being applied next to theskin, the child can perform its naturalfunctions without the removal of theapparatus. The second object is to fix the s
Size: 1487px × 1681px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
