Diseases of the hip, knee, and ankle joints and their treatment by a new and efficient method . delay, and with the con- 28 sent of the superioress of the convent, appliedthe frame, and fixed the joint, retaining thepatient in bed for twelve weeks, at the expirationof this period, the local symptoms subsided, andcould not be detected, except on rough manipu-lation. And during the first three weeks thefebrile condition was treated with salines, &c, inaddition to the mechanical treatment. At theexpiration of the twelve weeks she was taken frombed, much improved in health, and stouter thanshe had


Diseases of the hip, knee, and ankle joints and their treatment by a new and efficient method . delay, and with the con- 28 sent of the superioress of the convent, appliedthe frame, and fixed the joint, retaining thepatient in bed for twelve weeks, at the expirationof this period, the local symptoms subsided, andcould not be detected, except on rough manipu-lation. And during the first three weeks thefebrile condition was treated with salines, &c, inaddition to the mechanical treatment. At theexpiration of the twelve weeks she was taken frombed, much improved in health, and stouter thanshe had been previous to the attack. During thenext six months she went about with crutches,frame, and patten, as in plate 10. After-wards, for a further period of three months, shecontinued the use of the frame in the daytimeonly, at the end of which time the patten andcrutches were used during the remainder of thetwelve months that she was under my care. This case progressed well, and the patientrecovered perfectly; and at the expiration ofthe treatment was in better health than she Plate 10. 29 had ever been at any previous period of herlife. During the progress of this case towardsrecovery, there was neither inversion, eversion,adduction, shortening, nor lengthening, at anytime; nevertheless at one period in the treat-ment, I had some fear that there would possiblyremain some amount of adhesion, and consequentstiffening of the joint, impeding its future action,as the inflammation was more rapidly developedand acute than any I had ever before witnessedin this class of cases. But it did not occur, andit is my opinion—and this is quite consonantwith reason—that the more effectually an in-flamed or irritable joint is fixed, and the sooner thisis done, the greater is the certainty of its futurefreedom of motion and the absence of defects. No rule can be laid down as to how long ajoint ought to be kept under treatment. Thesurgeon must judge, by the disappearance of thesymptoms of di


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Keywords: ., bookcentury1800, bookdecade1870, booksubjecthipjoin, bookyear1875