The surgical diseases of children . ital, something more than ad-vice (which can hardly be carriedout) is required. After anoperation, when the limb isfixed in plaster of Paris, moredomestic interest is taken in thelittle patient, and considerableadvance may be made. The forcible straighten-ing of the limb is effected whenthe child is under surgeon holds the thigh inone hand, and the middle ofthe leg in the other, and withhis knee placed near, or against,the prominent angle of the ex-tended knee of the child, hestraightens it gently yet firmly,as he would a stick. Or the redress
The surgical diseases of children . ital, something more than ad-vice (which can hardly be carriedout) is required. After anoperation, when the limb isfixed in plaster of Paris, moredomestic interest is taken in thelittle patient, and considerableadvance may be made. The forcible straighten-ing of the limb is effected whenthe child is under surgeon holds the thigh inone hand, and the middle ofthe leg in the other, and withhis knee placed near, or against,the prominent angle of the ex-tended knee of the child, hestraightens it gently yet firmly,as he would a stick. Or the redressement of the limbmay be effected against the mattress, or over a sandpillow. The limb is afterwards put up straight insplinting. It is impossible to say what happens duringthis manipulation; probably a condensation of tissuetakes place about the inner side of the articulation ;sometimes, it may be, the external lateral ligamentsyield, a gap being left between the external condyleof the femur and the head of the tibia, and sometimes. Fig. 9, — MechanicalSplint for Knock-knee. Chap. VI.] REDRESSEMENT FORCE. 83 an epiphysial cartilage becomes partially have often had occasion to adopt the method,and have been well satisfied with the results. Butwhen it is remembered that the operation is bestadapted for rickety children under twelve years (forwhom the more gentle and continuous treatmentdescribed above would be well adapted) one wouldhesitate to recommend it, except in certain trouble-some and unsatisfactory cases which cannot be takeninto hospital or be properly attended to at computes * that at least 300 cases have beensubjected to this treatment, and with but two deaths,one from scarlet fever, the other from pyaemia. (It is highly probable that when a young child hasbeen subjected to osteotomy, and by the use of acertain amount of force the limb is put straight, theimprovement is effected by redressement force, ratherthan by any advantage gained by an i
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
