A treatise on orthopedic surgery . z stilt, sometimes used inthe treatment of the more painful is incorporated in the plaster band-age above the knee and it extends belowthe foot. tion of the spasm assured by the rest and fixation; thus it isparticularly useful in the treatment of young children in theoutdoor practice, for whom hospital care would otherwise berequired. 374 ORTHOPEDIC SUBGEBY. The Shokt oe Loeenz Spica.—The short spica is used asroutine treatment of hip disease in Lorenzs clinic in Vienna andin a somewhat modified form this principle of treatment hasbeen accepted in
A treatise on orthopedic surgery . z stilt, sometimes used inthe treatment of the more painful is incorporated in the plaster band-age above the knee and it extends belowthe foot. tion of the spasm assured by the rest and fixation; thus it isparticularly useful in the treatment of young children in theoutdoor practice, for whom hospital care would otherwise berequired. 374 ORTHOPEDIC SUBGEBY. The Shokt oe Loeenz Spica.—The short spica is used asroutine treatment of hip disease in Lorenzs clinic in Vienna andin a somewhat modified form this principle of treatment hasbeen accepted in many of the clinics in this country, the aimbeing to fix the affected limb in an attitude of slight flexion andabduction, the primary attitude of hip disease by accurate ad-justment to the pelvis and at the same time permitting movementin the lumbar spine and at the knee. A close-fitting covering ofshirting is drawn over the limb and pelvis, and a wide frictionbandage is then introduced between the skin and shirting to Fig. The short spica bandage reaching to the knee in combination with the longtiaction brace. One perineal band has been removed in order to show how thejoint is supported by the bandage. serve as a scratcher. The bony prominences are suitablyprotected in the manner described, and the bandages are thenapplied, being drawn closely and carefully moulded about thepelvis and thigh, so that movement in the joint may be con-trolled. The upper and lower extremities of the bandage arecut away as illustrated (Fig. 259), and the shirting is thendrawn over the margins of the plaster and sewed. This makesa smooth covering and holds the padding in position. If thebandage is extended below the knee it is more efficient in check-ing the action of the long muscles which are attached to thepelvis and to the leg. It should be stated that in the treatmentof some of the more acute cases by Lorenz the weight of the bodyis removed by a prolongation or stirrup of sheet steel wh
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
