Preparatory and after treatment in operative cases . with lanolin or other lubricant during the manipu-lations, with the view of softening the skin and stretching thefascia and ligaments of the joints. The superheated air appar-atus, such as is used for the treatment of rheumatic joints, maybe used and seems to be of service. The deformity is liable to return after a long period of time,and the patient must be instructed to employ correcting manipu-lations regularly for several years after the operation. This neednot be made a hardship. A few minutes of massage, kneading,and the use of pulley
Preparatory and after treatment in operative cases . with lanolin or other lubricant during the manipu-lations, with the view of softening the skin and stretching thefascia and ligaments of the joints. The superheated air appar-atus, such as is used for the treatment of rheumatic joints, maybe used and seems to be of service. The deformity is liable to return after a long period of time,and the patient must be instructed to employ correcting manipu-lations regularly for several years after the operation. This neednot be made a hardship. A few minutes of massage, kneading,and the use of pulley weights, which extend mechanically the fin-gers, every morning will be found to meet the indications. HALLUX VALGUS 591 HALLUX VALGUS Hallux valgus when subjected to operative relief is followedby immobilization of the parts, by the application of a splint tothe internal surface of the foot. The wound is covered with theprotective dressing, a gauze pad is placed between the large andsecond toes, to make outward pressure, and a splint is applied, as. Fig. 372.—Lateral Splint for Holding Toe after Operationfor Hallux Valgus. (Foote.) shown in Fig. 372. The toe is held in contact with the splint byadhesive plaster. If no special indication arises, the wound is not dressed untilthe tenth day after the operation, at which time the stitches areremoved. If there has been much oozing, the wound is drained,in which event the dressing is removed on the third day and thedrain removed. The parts are now again immobilized, as statedabove, and the wound is left undisturbed for the remaining seven 592 OPERATIONS ON THE EXTREMITIES days. At this time the toe is moved slightly and a silicate ofsoda splint applied which holds the parts in place. At the endof another three days the patient is permitted to go about withthe toe held in the position mentioned, the shoe being cut awayfor the purpose. The corrected position is maintained for sixweeks, at the end of which time passive motion may be b
Size: 1340px × 1865px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
