Diseases of the hip, knee, and ankle joints and their treatment by a new and efficient method . g placed in themachine, a strap and buckle close the uppercircle round the chest, and the limb is bound 24 witli flannel from tlie calf upwards, beyond thesmall crescent B, plate 4, fig. 4. Fig. 2, plate 4, shews how the applianceshould fit, when applied correctly; the long portionof the upper crescent being close to the trunk,the short portion a little space from the is necessary to hinder rotation of theinstrument, and the upright stem should have aperceptible rotation outwards, as show
Diseases of the hip, knee, and ankle joints and their treatment by a new and efficient method . g placed in themachine, a strap and buckle close the uppercircle round the chest, and the limb is bound 24 witli flannel from tlie calf upwards, beyond thesmall crescent B, plate 4, fig. 4. Fig. 2, plate 4, shews how the applianceshould fit, when applied correctly; the long portionof the upper crescent being close to the trunk,the short portion a little space from the is necessary to hinder rotation of theinstrument, and the upright stem should have aperceptible rotation outwards, as shown in fig. 4,plate 4, from B to C, and be fitted so that itpasses to the inner side of the poplited spaceas indicated by the arrow in fig. 2, plate 4 ;this will avoid rotation inwards of the limb,a defect easily avoided by attending to thesedetails. It is advisable that the sufferer should beconfined to bed for a short period, at the com-mencement of the treatment, until the nightpains and disturbed sleep have ceased—as inplate 2. This is the first stage of the mechanicaltreatment. Plate 9. 25 Prescribing for the general health is occasion-ally required. The surgeon being satisfied thatsuppuration has been avoided. Now comes the second stage. The patientis allowed to go about with the assistance ofcrutches, the frame continued, and an iron pattenplaced under the shoe of the sound limb, as inplates 9 and 10. These must be continued untilthe limb is well atrophied around the greattrochanter. We now come to the third stage. The patienttakes off the framework in bed, and replaces itduring the day, still using the crutch and pattenfor a certain period. We now arrive at the fourth stage. Thepatient discards totally the frame, and uses thecrutch and patten only. These he sets asideafter the surgeon is well satisfied of the per-manence of the cure. If the case does notprogress to the surgeons satisfaction, some ofof these stages must be prolonged. The weight of the limb is equal to re
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Keywords: ., bookcentury1800, bookdecade1870, booksubjecthipjoin, bookyear1875
