A treatise on orthopedic surgery . The long, inexpensive brace, witli solidupright, showing the perineal bands andthe adhesive plaster, as used in hospitalpractice. 356 OBTHOPEDIC SUBGEEY. band of thin metal covering about three-fourths of the thorax,the circumference as at the pelvis being completed bj a brace should be constructed so as to hold the limb in about15° of abduction. If it is i3roperlj adjusted, it assures prac-tical fixation of the joint. The efficiency of the apparatus may be still further increasedbj replacing the perineal bands with a metallic ring. This ring,which
A treatise on orthopedic surgery . The long, inexpensive brace, witli solidupright, showing the perineal bands andthe adhesive plaster, as used in hospitalpractice. 356 OBTHOPEDIC SUBGEEY. band of thin metal covering about three-fourths of the thorax,the circumference as at the pelvis being completed bj a brace should be constructed so as to hold the limb in about15° of abduction. If it is i3roperlj adjusted, it assures prac-tical fixation of the joint. The efficiency of the apparatus may be still further increasedbj replacing the perineal bands with a metallic ring. This ring,which fits the upper extremity of thigh closely, is attached tothe upright at an inclination corresponding to the line of thegroin (Fig. 242). (The Thomas ring is described fully in con- FiG. The long hip splint applied. nection with his knee splint.) It is a better support because itprevents anteroposterior motion within the pelvic band, whichthe perineal straps permit. The ring may be used as the onlysupport or it may be combined with a perineal band on theopposite side. This is of advantage if there is a tendency towardadduction. The apparatus is most satisfactory when the hollow ujiright ofthe Taylor brace is used. This is light and strong, and is pro-vided with an arrangement for effective traction, but in hospitalpractice the upright is made of solid metal, and the traction ismade by simple straps. The metallic ring, besides providingbetter fixation, is a firm support that cannot be removed by thepatient. It is, of course, more difficult of adjustment, and it isnot suited to the treatment of young children because of the diffi-culty in keeping it clean and dry. The Thomas ring was first applied to a hip splint by Phelps(Fig. 244). He urged the advantages of fixation
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
