A treatise on orthopedic surgery . er is changed. One may then hold the head of thefemur in place and stretch the contracted tissues, particularlythe iliofemoral ligament, sufficiently to permit the lessened ab-duction, for the resistance of these tissues seems in certain in-stances to be the direct cause of displacement. The writer often modifies the Lorenz treatment in certaindetails both in unilateral and bilateral cases. In the originalattitude of flexion and extreme abduction the head of the femuris not within the acetabulum but is pressed against the anteriorwall of the capsule. This att
A treatise on orthopedic surgery . er is changed. One may then hold the head of thefemur in place and stretch the contracted tissues, particularlythe iliofemoral ligament, sufficiently to permit the lessened ab-duction, for the resistance of these tissues seems in certain in-stances to be the direct cause of displacement. The writer often modifies the Lorenz treatment in certaindetails both in unilateral and bilateral cases. In the originalattitude of flexion and extreme abduction the head of the femuris not within the acetabulum but is pressed against the anteriorwall of the capsule. This attitude is of advantage in that itenlarges the capacity of the joint anteriorly and permits re-traction of the posterior sac which originally formed the changes it may be assumed have in a young subject be-come sufficiently advanced at the end of three months to permit 560 OETHOPEDIC SUBGEBY. more accurate reposition. The patient is again anaesthetizedand while by pressure on the trochanter the head of the bone Fig. Illustrating the range of normal abduction of the thighs, from the attitude ofright angular flexion. Fig. 371.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
