This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1917 Excerpt: ...at which anchylosis or limitation of motion will least inconvenience the patient, and at the elbow-joint this is practically at right angular flexion (Fig. 305). In the treatment of young children the wrist may be attached closely to the neck by means of a sling, in an attitude of acute flexion at the elbow (the Thomas ...
Read More
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1917 Excerpt: ...at which anchylosis or limitation of motion will least inconvenience the patient, and at the elbow-joint this is practically at right angular flexion (Fig. 305). In the treatment of young children the wrist may be attached closely to the neck by means of a sling, in an attitude of acute flexion at the elbow (the Thomas method) within the clothing. Or a light plaster splint may be used to fix the wrist, being supported by a sling. This enables the patient to dress himself without moving the joint and at the same time protects it from injury. Other forms of splints may be employed, but the plaster support answers every purpose. It should, of course, extend from the axilla to the wrist, and in sensitive cases it may include the hand also. The Bier treatment may be easily applied and its effects should be tested in all cases. Reduction of Deformity.--In many instances the arm is fixed in the semiextended attitude when the patient is brought for treatment. A simple and effective means of reducing deformity in childhood is that suggested by Thomas. When it is impossible to bring the wrist to the neck, one bends the neck toward the wrist and attaches the two by a bandage which the patient is unable to remove. From this uncomfortable attitude the patient can free himself only by drawing the forearm toward the neck and thus reducing the deformity. At the next visit the same procedure is repeated, until finally the elbow is flexed to the required degree. A permanent sling may be constructed of a leather wrist-band and a tube of leather to pass about the neck, through which the bandage may be drawn; thus the pressure on the wrist and neck may be lessened. In the very resistant cases reduction of deformity under anesthesia may be required but this is not often necessar...
Read Less
Add this copy of A Treatise On Orthopedic Surgery to cart. $69.09, new condition, Sold by Booksplease rated 3.0 out of 5 stars, ships from Southport, MERSEYSIDE, UNITED KINGDOM, published 2015 by Arkose Press.