A practical treatise on fractures and dislocations . the perineum and making the exten-sion with the hands, very much as Sir Astley Cooper advises us toproceed in dislocations of the humerus. Morgan and Cock, of GuysHospital, have reduced six cases of dislocation of the hip-joint byplacing the foot between the thighs, so that it pressed against theupper part of the dislocated bone, and thrust it away from the pelvis;extension and rotation of the limb being made at the same time Three of these were examples of dislocation upon thedorsum ilii,two upon the pubes, and one into the f
A practical treatise on fractures and dislocations . the perineum and making the exten-sion with the hands, very much as Sir Astley Cooper advises us toproceed in dislocations of the humerus. Morgan and Cock, of GuysHospital, have reduced six cases of dislocation of the hip-joint byplacing the foot between the thighs, so that it pressed against theupper part of the dislocated bone, and thrust it away from the pelvis;extension and rotation of the limb being made at the same time Three of these were examples of dislocation upon thedorsum ilii,two upon the pubes, and one into the foramen thyroideum ;and most of them had occurred in weak or elderly persons. Ambrose Pare was among the first to recommend the use of pulleysfor the reduction of dislocations. Most surgeons since his day haveemployed them for the purpose of making extension more energeticand steady, and that it might be longer continued. Sir Astley Coopersplan of procedure is as follows:— The patient having been bled freely and the muscles still farther Reduction of a dislocation on the dorsum ilii, by pulleys. (Sir Astley Coopers method.) relaxed by nauseating doses of antimony and by the hot bath, he is tobe placed on his back upon a table of convenient height between twostaples; a strong padded leathern girth or perineal band, constructedso as to receive the thigh and to press at the same moment against theperineum and the outer surface of the pelvis, is then applied and madefast to one of the staples situated behind the patient in the direction ofthe axis of the limb. A wetted linen roller is next to be tightlyapplied just above the knee, and upon this a leathern strap is to bebuckled, having two short straps with rings at right angles with the 1 Cock and Morgan, Chelius, op. cit., vol. ii. p. 242, note by 650 DISLOCATIONS OF THE THIGH, circular part; or, instead of this, a round towel made in the knotcalled the clove-hitch. The knee is to be slightly bent, but not quit
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
