A treatise on orthopedic surgery . Lateral view. The shape of the pelvic band is like that illustratedin Fig. 269. or of the destructive type accompanied by infiltration of thetissues or by discharging sinus. In such cases traction is to bepreferred and in certain instances in which because of generalshortening of the contracted tissues and subluxation of thefemur, reduction by this method is impracticable, correction TUBEBCULOUS DISEASE OF THE HIP-JOINT. 377 Fig. should be deferred until the process of repair is practicallycompleted. The impression that onemight receive from description
A treatise on orthopedic surgery . Lateral view. The shape of the pelvic band is like that illustratedin Fig. 269. or of the destructive type accompanied by infiltration of thetissues or by discharging sinus. In such cases traction is to bepreferred and in certain instances in which because of generalshortening of the contracted tissues and subluxation of thefemur, reduction by this method is impracticable, correction TUBEBCULOUS DISEASE OF THE HIP-JOINT. 377 Fig. should be deferred until the process of repair is practicallycompleted. The impression that onemight receive from descriptionsof the treatment of hip diseaseis that most cases begin acutely,or that when the patients arebrought for treatment the dis-ease is in an acute stage, orthat deformity is present, sothat preliminary recumbency isrequired. But each year theproportion of early cases isgreater, cases in which there isno deformity and in whichacute symptoms are absent. Insuch instances the hip splint orplaster spica may be appliedwithout preliminary recum-bency, and if the joint is fixedin the normal attitude and pro-tected a relatively rapid recov-ery without deformity and witha fair range of motion may behoped for. Review of the MechanicalTreatment—Traction is themost efficient means of assuringrest of a diseased joint if thepatient is recumbent or if thelimb is pendant. Under carefuland constant supervision sometraction may be exerted by anambulatory splint, but underordinary c
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
