A treatise on orthopedic surgery . rawn back-ward and outward and is attached firmly to the brace by aroller bandage (Fig. 405). In the more extreme cases in which the knees and thighs arehabitually flexed, the addition of a pelvic band attached to theuprights by a free joint at the hips adds to the comfort and effi-ciency of the apparatus, as the attitude of outward or inwardrotation can be regulated by twisting the uprights slightly. Orpreferably the pelvic band may be divided and attached bymeans of straps on the front and back. The uprights may bebent somewhat inward at first, and as the l


A treatise on orthopedic surgery . rawn back-ward and outward and is attached firmly to the brace by aroller bandage (Fig. 405). In the more extreme cases in which the knees and thighs arehabitually flexed, the addition of a pelvic band attached to theuprights by a free joint at the hips adds to the comfort and effi-ciency of the apparatus, as the attitude of outward or inwardrotation can be regulated by twisting the uprights slightly. Orpreferably the pelvic band may be divided and attached bymeans of straps on the front and back. The uprights may bebent somewhat inward at first, and as the legs become straighterthey are straightened and finally bent slightly outward to allow DEFORMITIES OF BONES OF LOWEB EXTBEMITY. 611 for the over-correction of the deformity (Fig. 407). Twice aday the braces should be removed for massage, manipulation,and for voluntary exercises of the limbs. In most cases thebraces are not employed at night, although the rectification ofthe deformity may be hastened by their constant use. Fig. Modified Thomas kuock-kuee braces applied. If the deformity is unilateral so that a brace is required forone limb only, the other shoe should be raised by a cork soleabout three-quarters of an inch in thickness, to make walkingeasier. Children soon become accustomed to the braces andwalk easily in spite of the absence of joints at the knees. Another simple and efficient brace is that used at the Chil-drens Hospital at Boston (Fig. 408). The upper part of the 612 OBTHOPEDIC SUBGEBY. Fig. 408.


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