A treatise on orthopedic surgery . ood 3 155 10 li 38 9 (t 1 0 ^ 39 9 (1 0 ...„ i 40 9 Poor 1 170 i 41 9 Fair 3 1 42 8 Good 0 180 130 * 43 8 0 180 i 44 8 Poor 1 165 10 f 45 7 i I 46 7 Good 0 180 10 11 47 7 a 0 160 70 I- 398 OBTHOPEDIC SUBGEBY. Correction of Deformity.—The various .methods of correct-ing deformity during the active stages of the disease have beendescribed, and the importance of preventing deformity through-out the entire course of treatment has been emphasized. Atthe present time, for one reason or another, deformity fromthis cause is very common, either because its importance
A treatise on orthopedic surgery . ood 3 155 10 li 38 9 (t 1 0 ^ 39 9 (1 0 ...„ i 40 9 Poor 1 170 i 41 9 Fair 3 1 42 8 Good 0 180 130 * 43 8 0 180 i 44 8 Poor 1 165 10 f 45 7 i I 46 7 Good 0 180 10 11 47 7 a 0 160 70 I- 398 OBTHOPEDIC SUBGEBY. Correction of Deformity.—The various .methods of correct-ing deformity during the active stages of the disease have beendescribed, and the importance of preventing deformity through-out the entire course of treatment has been emphasized. Atthe present time, for one reason or another, deformity fromthis cause is very common, either because its importance is notappreciated or because it is considered as a necessary con-comitant of the disease, treated by apparatus, as it is in thenatural cure. At all events, in many instances it is allowed topersist until the accommodative changes about the diseased jointhave fixed the limb in the deformed position. In this class of cases, in which the muscles are structurallyshortened and in part transformed to fibrous tissue, and in Fig. Extreme deformity after hip disease, showing the attitude before operation.(See Figs. 284 and 285.) which the anterior wall of the capsule has become retracted andadherent to the surrounding parts, forcible reduction under TUBEBCULOUS DISEASE OF THE HIP-JOINT. 399 ansesthesia, or osteotomy, may be required. If the disease isquiescent or cured, if the head of the femur or what remains ofit is in the normal position, and if a fair range of motion re-mains, forcible reduction after division of the bands of fascia orthe muscles that hold the limb in the deformed position isadvisable. In all cases in which the head of the bone is destroyed, motionpersisting (pathological excision), the aim should be to securean anterior transposition of the upper extremity of the femur,and to secure this result one proceeds as in reducing or transpos-ing the congenitally displaced hip—by longitudinal traction, byforcible abduction, combined with massage of the adductors
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
