A treatise on orthopedic surgery . ths on the stretcher frame,recession of deformity. Compare with Fig. 37. shows the otherwise, after which the child is immediately replaced uponthe frame, where the plaster is allowed to harden; thus it holdsthe spine in an attitude to which it has become accustomed(Fig. 56). Ambulatory —The two types of ambulatory supportsare the plaster jacket and the steel brace. The first of these hasthe great advantage in that the services of a skilled mechanic arenot essential and in that the patient is more under the control ofthe physician than when removabl
A treatise on orthopedic surgery . ths on the stretcher frame,recession of deformity. Compare with Fig. 37. shows the otherwise, after which the child is immediately replaced uponthe frame, where the plaster is allowed to harden; thus it holdsthe spine in an attitude to which it has become accustomed(Fig. 56). Ambulatory —The two types of ambulatory supportsare the plaster jacket and the steel brace. The first of these hasthe great advantage in that the services of a skilled mechanic arenot essential and in that the patient is more under the control ofthe physician than when removable apparatus is used. The Plaster Jacket.^—It was claimed at one time that a plasterjacket applied while the body was partially suspended wouldactually relieve the weakened area of superincumbent weight by 76 ORTHOPEDIC SUEGEEY. holding the diseased surfaces apart. This is not the fact. Thejacket supports the spine by holding it in the erect or extendedposition and thus transferring the weight in part from the Fig. 39. Fig. The plaster jacket, illustrating thearrangement of the shirt. The plaster jacket supporting the ab-rlomen. The cleansing bandages are not-shown. diseased vertebral bodies to the lateral and posterior portion ofthe column. Its efficiency depends upon the accuracy of its adjustment tothe irregularities of the body, and upon the leverage that it TUBEBCULOUS DISEASE OF THE SPINE. 77 exerts above and below the weakened part. It should be appliedwhile the bodv is held in the best possible position; its innersurface should be smooth, and the bony prominences that areexposed to friction and pressure should be protected. A seamless shirt fitting the body closely and long enough toreach to the knees should be worn. These are made in several sizesand are sold by the yard at a low price. A band of linen, China silkor other material, about three inches in width and three feet inlength, should be placed beneath the shirt on the front and bands, or, as L
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
