A treatise on orthopedic surgery . ed to that class of cases. In certain casesa strip of iron, the nurse, was screwed to the lower extremityof the long brace, prolonging it beyond the foot in order to pre-vent the patient from bearing weight upon the limb. The Thomas brace, so effective in preventing and overcomingflexion deformity, does not prevent lateral distortion. In fact,in twenty-four of the fifty-eight patients examined by Ridlon,^adduction was present; a larger proportion, it would appear,than would be found in a like number of cases under treatment ^ A report of Sixty-two Cases of Hi
A treatise on orthopedic surgery . ed to that class of cases. In certain casesa strip of iron, the nurse, was screwed to the lower extremityof the long brace, prolonging it beyond the foot in order to pre-vent the patient from bearing weight upon the limb. The Thomas brace, so effective in preventing and overcomingflexion deformity, does not prevent lateral distortion. In fact,in twenty-four of the fifty-eight patients examined by Ridlon,^adduction was present; a larger proportion, it would appear,than would be found in a like number of cases under treatment ^ A report of Sixty-two Cases of Hip Disease Observed iu the Practice ofHugh Owen Thomas, New York Medical Journal, October, 4, Loc. cit. TUBEBCULOUS DISEASE OF THE HIP-JOINT. 365 with the traction brace. This tendency to lateral distortion maybe guarded against by placing a half band of material similarto the chest band about the side of the pelvis; on the same sidefor adduction, on the opposite side for abduction of the limb. riG. 251. Fig. 252. Fig. 2=^ Different forms of plaster supports used in tlie treatment of liip disease. The Thomas brace has a great advantage over other appli-ances in its simplicity. It can be made by a blacksmith, but itmust be fitted by the surgeon. This fitting requires great the V70rds of Mr. Thomas: The fitting although sometimessuccessful in one visit, may at other times occupy many surgeon should mould, by reducing or increasing thevarious curves, until the instrument ceases to tend to rotate, andat none of its angles irritates the patient. He concludes, in ageneral answer to the criticisms that have alwavs been made on 366 OETHOPEDIC SUEGEBY. the difficulty of adjustment of the appliance, as follows: WhatI can invariably do must be possible to others. Treatment by Plaster Supports.—The treatment of hip diseasein the more important clinics of this country has greatly changedin recent years, and fixation of the diseased joint is now gen-erally recogni
Size: 1583px × 1577px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
