. A treatise on dislocations and fractures of the joints. es by tendon ; the psoas muscle and iliacus internus, theglutei and pyriformis, were all upon the stretch. Nothing can bemore curious, or, to the surgeon and physiologist, more beautiful, thanthe changes produced by this neglected accident.* Treatment.—The reduc-tion of this dislocation is ingeneral very easily effected. Ifthe misfortune be of recent oc-currence, it is requisite to placethe patient upon his back, toseparate the thighs as widely aspossible, and to place a girthbetween the pudendum and theupper part of the luxated thigh,t
. A treatise on dislocations and fractures of the joints. es by tendon ; the psoas muscle and iliacus internus, theglutei and pyriformis, were all upon the stretch. Nothing can bemore curious, or, to the surgeon and physiologist, more beautiful, thanthe changes produced by this neglected accident.* Treatment.—The reduc-tion of this dislocation is ingeneral very easily effected. Ifthe misfortune be of recent oc-currence, it is requisite to placethe patient upon his back, toseparate the thighs as widely aspossible, and to place a girthbetween the pudendum and theupper part of the luxated thigh,to which is fixed the hook ofthe pulleys, which are to beattached to a staple placed onthe same side as the injuredlimb of the patient;—while thecounter-extending force for fix-ing the pelvis is composed of agirth, which is completely tosurround both ilia; and one endof which is to be admittedthrough the noose formed bythe girth attached to the dislo-cated limb. It then being at-tached to the opposite staple, the two girths, during the application of. See the figures at pages 5 and 6. 52 DISLOCATION OF THE HIP-JOINT, the extending power, are made to fix each other. The apparatusbeing now properly adjusted, the surgeon should direct that extensionshould be gradually made with the pulleys until the head of the femurcan be felt moving from the foramen ovale. He is then to pass hishand behind the ankle of the sound limb, and to grasp the ankle of thedislocated extremity, and draw it inwards towards the middle line ofthe patients body. He thus acts upon the dislocated femur with themost powerful lever of the first order, and usually readily reduces thedislocation. I saw a dislocation thus reduced, which had happenedvery recently, and which was subjected to an extension in St. ThomassHospital, almost immediately after the patients admission. In asimilar case, the thigh might be fixed by a bedpost received betweenthe pudendum and the upper part of the limb, and the leg be carriedin
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
