. The diseases of children : medical and surgical. of the tibia in cases wherethere is no bony ankylosis. Under anaesthesiathe adhesions are broken up carefully by one or steel loops e. The coumer-press-,. ,. r , . 1 • ure is exerted by the straps f more applications of the lever, and a protective j u ^ t-i, 1 ? .i, c .1 ^ _ ^ and g. The leg IS then carefully splint worn afterwards until the disease is cured straightened by the lever arm h.(see Fig. 221). Amputation (p. 680) for tubercular disease of the knee-joint, without otherlesions, is very rarely done here. Gibney has had but one case re
. The diseases of children : medical and surgical. of the tibia in cases wherethere is no bony ankylosis. Under anaesthesiathe adhesions are broken up carefully by one or steel loops e. The coumer-press-,. ,. r , . 1 • ure is exerted by the straps f more applications of the lever, and a protective j u ^ t-i, 1 ? .i, c .1 ^ _ ^ and g. The leg IS then carefully splint worn afterwards until the disease is cured straightened by the lever arm h.(see Fig. 221). Amputation (p. 680) for tubercular disease of the knee-joint, without otherlesions, is very rarely done here. Gibney has had but one case requiring it in thelast five years at the Hospital for the Relief of the Ruptured and Crippled ; at theNew York Orthopedic Hospital this operation has not been advised or done inthat time. HIP DISEASE. Muscular Spasm (p. 693).—Involuntary reflex muscular spasm is generally con-sidered in America the most constant symptom of hip disease. It appears first anddisappears last, and is the safest guide as to the presence or absence of the Fig. 221. —Bradford-Gold thwaiteBrace for Correcting Deformityat the Knee. To apply the brace : The head ofthe tibia is forced forward as faras possible by the screw b work-ing in the arch a, which raisesthe cross bar c to which the pos-terior band d is attached by the 846 Diseases of Children The ivriter during his observations of hip-joint disease under the tuberculintreatment at St. Lukes Hospital, made daily careful examinations, and came tothe conclusion that the reflex muscular spasm was the first symptom affected by theinjections. In the cases with more marked reaction the symptoms, although last-ing but a few days, exactly resembled the usual exacerbations of the disease, withincrease of reflex spasm, less motion, or even appearance of deformity, increase ofpain and sensitiveness, and recurrence of night cries. In less marked reactionsseveral times the reflex muscular spasm became more alert, though there was norise of temperat
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