A treatise on orthopedic surgery . ts ability. In the more extreme cases, inwhich the fingers are clasped over one another, treatment is oflittle avail. In another class, in which the patient has thepower of extending the fingers only when the wrist is flexed, thepower of dorsiflexion may be restored or improved by trans-planting the flexors of the carpus on the radial and ulnar borderto the extensors, which have been overlapped and shortened tothe proper extent. These tendons may be exposed by lateralincisions, and may be attached to the dorsal tendons by passing42 658 ORTHOPEDIC SUEGEE7. the
A treatise on orthopedic surgery . ts ability. In the more extreme cases, inwhich the fingers are clasped over one another, treatment is oflittle avail. In another class, in which the patient has thepower of extending the fingers only when the wrist is flexed, thepower of dorsiflexion may be restored or improved by trans-planting the flexors of the carpus on the radial and ulnar borderto the extensors, which have been overlapped and shortened tothe proper extent. These tendons may be exposed by lateralincisions, and may be attached to the dorsal tendons by passing42 658 ORTHOPEDIC SUEGEE7. them about the border of the radius and of the ulna, or thetendons may be elongated by silk, which may be inserted directlyto the median surface of the carpus or metacarpus. In suchinstances one hopes that fibrous tissue will be deposited aboutthe artificial tendon and finally replace it. In other instancesthe two tendons have been pushed through an opening in theinterosseous membrane to the dorsal surface of the wrist, and Fig. Cerebral paraplegia, second stage in treatment, the long replaced by theshort spica. This patient, at the age of eight years, was unable to stand with-out assistance. The spastic contractions and deformities were overcome bytenotomies and by force, and a double long spica bandage was applied. This wasworn for eight months. It was then replaced by the bandage shown in theillustration. Six months later this was removed. There is at present no de-formity, and the child walks fairly well. there united with the tendons of the extensors of the results of these operations as far as improving the attitudeis concerned are usually good. The transplantation of other DISEASES OF TEE NEEVOUS SYSTEM. 659 tendons may be of service, but the operation is limited in useful-ness for the reasons stated. Athetoid movements of tbe bandand arm may be relieved somewhat by prolonged fixation in aplaster bandage, or by arthrodesis at the w^rist-joint. 2. Paraplegi
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
