A treatise on orthopedic surgery . t restored. To ensurepermanency of cure the control should be maintained for aperiod beyond the time when resolution has taken place. Thisprolonged arrest of a joints movements, for even an unneces-sarily long period, I have never found to do harm. The splint used by Mr. Thomas to carry out these principleseffectively is described by him substantially as follows: A flat piece of malleable iron, three-quarters of an inch wide ^ Diseases of the Hip, Knee, and Ankle-Joints Treated by a New andEffective Method, 1875, p. 10. 360 OETEOPEDIC SUEGEET. and three-sixte
A treatise on orthopedic surgery . t restored. To ensurepermanency of cure the control should be maintained for aperiod beyond the time when resolution has taken place. Thisprolonged arrest of a joints movements, for even an unneces-sarily long period, I have never found to do harm. The splint used by Mr. Thomas to carry out these principleseffectively is described by him substantially as follows: A flat piece of malleable iron, three-quarters of an inch wide ^ Diseases of the Hip, Knee, and Ankle-Joints Treated by a New andEffective Method, 1875, p. 10. 360 OETEOPEDIC SUEGEET. and three-sixteeuths of an inch thick for children, and one inchby one-quarter inch for adults, long enough to extend from thelower angle of the scapula to the middle of the calf, forms theupright. This is fitted to the body of the patient, passing fromthe lower angle of the scapula, in a perpendicular line, down-ward, over the lumbar region, across the pelvis, slightly ex-ternal, but close to the posterior spinous process of the ilium Fig. The Thomas hip splint, covered and fitted with shoulderstraps. (Ridlon and Jones.) and the i^rominence of the buttock, along thecourse of the sciatic nerve to a point slightlyexternal to the calf of the leg. It must be care-fully modelled to this track. The lumbar por-tion of the upright must be invariably almost aThe splint in its pl^ue surf acc, but it must be twisted slightly onsimplest form, not its long axis at the junction of the upper andered^^*^(RwionT^ middle third, so that the anterior surface of thelower part may look slightly outward to corre-spond to the contour of the buttock and thigh. A second anddouble bend is made in the upright at the point where it passesthe buttock, so that the thigh part lies on a slightly higher planethan the body part, but parallel with it. The upright is thenprovided with chest, thigh, and leg bands (Fig. 2-iG). The chest band is of hoop iron, one and a half inches in widthby one-eighth of an inch in thicknes
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
