A treatise on orthopedic surgery . ation of the part shouldprevent this complication. The lesser degrees of deformity may be reduced by othermeans, for example, by repeated applications of plaster band-ages under slight corrective force, or by manipulation, or bybraces and bandaging. Paralytic knock-knee may be corrected by the Thomas knock-knee brace, and this brace when attached to a pelvic band is auseful form of support in the routine treatment of paralysis ofthe leg (Fig. 407). The Thomas caliper knee brace is another cheap and usefulsupport. It is of special service when there is flexion
A treatise on orthopedic surgery . ation of the part shouldprevent this complication. The lesser degrees of deformity may be reduced by othermeans, for example, by repeated applications of plaster band-ages under slight corrective force, or by manipulation, or bybraces and bandaging. Paralytic knock-knee may be corrected by the Thomas knock-knee brace, and this brace when attached to a pelvic band is auseful form of support in the routine treatment of paralysis ofthe leg (Fig. 407). The Thomas caliper knee brace is another cheap and usefulsupport. It is of special service when there is flexion or lateraldeformity of the limb (Fig. 302). 1 Munch, mecl. Wochen., Nov., 1907. DISEASES OF THE NERVOUS SYSTEM. 645 When distortion has been overcome and when functional usehas been made possible by proper support, the development ofactive muscles which have been thrown out of use bj the distor-tions, and of those in which part of the muscular substance hasbeen retained, is surprising. In many of these cases the distor- FiG. Paralysis of the left deltoid muscle, showing the elevation of the shoulder whenthe patient attempts to abduct the arm. (See Fig. 429.) tions which develop during the temporary paralysis have aloneprevented recovery, and this latent power may be revived evenafter years of disuse. Thus in many instances prognosis isimpossible until the deformities have been corrected and untilthe limb, properly supported, has been enabled to resume itsfunction. Tendon Teansplantation.—This operation is best adaptedto the treatment of distortions of the foot caused by paralysis ofthe muscles of the leg, and the procedure is described at lengthin that section. Hoffas Operation foe Paealysis of the DeltoidMuscle.—One of the most useful operations of this class is the 646 OBTROPEDIC SUBGEEY. transplantation of the trapezius muscle for paralysis of thedeltoid. In cases of this class there is disabling laxity or evensubluxation at the articulation, and the exaggerted el
Size: 1439px × 1736px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
