A system of surgery . d if our passive or its own active move-ments produce pain, it will be kept flexed as far as possible. In thisway a limb which has been straight and stiff after inflammation,but useful for progression, may be rendered useless by injudiciousattempts to restore its movements; for as soon as the patient canmove it he will place it and maintain it involuntarily in a state offlexion. Unless, then, the condition be completely relieved and freemovement without suffering be restored, a perverted position is theresult in many cases, and when strongly flexed the joint is not asusef
A system of surgery . d if our passive or its own active move-ments produce pain, it will be kept flexed as far as possible. In thisway a limb which has been straight and stiff after inflammation,but useful for progression, may be rendered useless by injudiciousattempts to restore its movements; for as soon as the patient canmove it he will place it and maintain it involuntarily in a state offlexion. Unless, then, the condition be completely relieved and freemovement without suffering be restored, a perverted position is theresult in many cases, and when strongly flexed the joint is not asuseful as before, and even tends to grow worse, there being always atendency to flex it involuntarily, and none to extend it again. Thismay be counteracted to some extent by splints, but, on the otherhand, the latter prevent the very thing we are aiming at—namely,free movement—and favour the production of stiffness again. Occa-sionally anchylosis with flexion is combined with great rotation of ANCHYLOSIS OF KNEE. 1113.
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