A treatise on orthopedic surgery . and the limb is placed in fullextension and 15 degrees of abduction. Traction plasters hav-ing been applied to the limb a spica plaster support, reachingfrom the ankle to the mammary line, carefully moulded aboutthe pelvis and hip, is adjusted. The patient is then placed inbed with a traction weight of ten pounds or more. This treat-ment is continued until all acute symptoms have subsided, awheeled couch on which the patient lies talking the place of thebed during the day. The immediate correction of deformityfollowed by fixation in the desired attitude has a
A treatise on orthopedic surgery . and the limb is placed in fullextension and 15 degrees of abduction. Traction plasters hav-ing been applied to the limb a spica plaster support, reachingfrom the ankle to the mammary line, carefully moulded aboutthe pelvis and hip, is adjusted. The patient is then placed inbed with a traction weight of ten pounds or more. This treat-ment is continued until all acute symptoms have subsided, awheeled couch on which the patient lies talking the place of thebed during the day. The immediate correction of deformityfollowed by fixation in the desired attitude has a manifest ad-vantage over the tedious reduction by traction which necessitates TUBEBCULOUS DISEASE OF THE RIP-JOINT. 367 long confinement to the bed with no compensatory advantagesexcept the avoidance of a so-called operation (Fig. 261). After several v^eeks or months, weight bearing is tested andif it causes no immediate or subseqnent discomfort it is per-mitted. If the joint is sensitive to weight bearing, although it Fig. The long plaster spica bandage. The dotted line indicates the position of the steel support. causes no actual pain, axillary crutches or a perineal splint maybe used for a time. As soon as the indications permit, the longspica is replaced by the Lorenz plaster support, permittingmotion at the knee and in the lumbar spine, but supporting thejoint by accurate adjustment to the pelvis. With this appliance 368 OBTHOPEDIC SUEGEEY. a certain degree of flexion of the limb can not be prevented, noris it within limits undesirable when weight bearing is permitted,as it lessens the direct jar on the joint. With care the attitude Fig. 256.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
