A treatise on orthopedic surgery . patient can be fixed, the limb being elevated by a sup-port attached to the frame or independent of it (Figs. 236 and237). It is perhaps needless to suggest that the bedclothes mustbe held from the elevated limb; in fact, that the patient mustfor a time be enclosed in a tent of bedclothes if the deformity isextreme. At first the traction weight must not be great, but asthe perineum becomes accustomed to pressure as much weightas can be tolerated is used, from ten to twenty pounds being theaverage. This may be reduced at night and increased during theday. Grea
A treatise on orthopedic surgery . patient can be fixed, the limb being elevated by a sup-port attached to the frame or independent of it (Figs. 236 and237). It is perhaps needless to suggest that the bedclothes mustbe held from the elevated limb; in fact, that the patient mustfor a time be enclosed in a tent of bedclothes if the deformity isextreme. At first the traction weight must not be great, but asthe perineum becomes accustomed to pressure as much weightas can be tolerated is used, from ten to twenty pounds being theaverage. This may be reduced at night and increased during theday. Great care must be taken to prevent painful pressure onthe perineum by careful adjustment and frequent inspection ofthe perineal bands. If the frame is used it may be provided with a windlass at TVBEBCULOUS DISEASE OF THE HIP-JOINT. 351 the bottom for traction and with an arched band of metal acrossthe pelvis for the attachment of the perineal bands, which behindare fastened to the side bars at a higher level. Thus the frame Fig. Traction by means of weight and pulley. (R. T. Taylor.)Fig. 237.
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