On the mechanical treatment of chronic inflammation of the joints of the lower extremities (Google eBook)

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Collins, 1865 - 25 pages
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Page 15 - This instrument consists of a firm steel, or hard rubber plate, .made to fit the sole of the foot; at the heel is a hinge-joint, and attached to it a rod, slightly curved at the bottom, and extending up the back of the leg to near the knee. Over the instep is an arch, like the top of a stirrup, with a hinge joint at its summit from which springs another rod, which runs in front of the leg, of equal length with the one behind.
Page 16 - ... equal length with the one behind. These rods are made with a male and female screw, or ratchet and cog for extension, and connected at the top by a firm band of sheet iron, on the side of which is a hinge, and a lock on the other like a dog collar.
Page 16 - A roller should be carefully applied over this plaster, to prevent its slipping, and the ends of the plaster at the top of the instrument turned over the collar, which has been previously locked, just tight enough to be comfortable, and secured by a turn or two of the bandage, as seen in Fig.
Page 12 - ... the nut with the key fitted for this purpose. They are connected on either side by an extension rod. of the rack and pinion (or screw) construction. To apply this instrument, adhesive plaster is required, spread on twilled goods, and cut in strips one inch wide and long enough to reach from just below the knee to near the ankle, and from the knee upwards several inches, as here represented.
Page 13 - Sayro'a apparatUB for extension at kuee-joiut. foot without pain. A roller is applied over the foot and leg up to the instrument, to prevent oedema. A large coarse sponge is placed in the popliteal space, and other pieces of sponge completely surround the knee-joint; these are secured by a tight roller, and then Fig. 5. Fig. 6. Fig. 7.
Page 22 - The limb was much smaller than the other, but the foot and ankle were swelled into a shapeless mass. In November she began to have repeated chills and hectic fever, and in the early part of December the ankle opened in several places, giving exit to a large amount of ill-conditioned or strumous pus. Her general health became much impaired, and in January, 1855, I was sent for to amputate the limb. Her suffering was most intense; she would not permit the limb to be handled until she was under the...
Page 12 - ... extremities by a snugly-adjusted roller, as seen in Fig. 6. The instrument is then placed on the limb, the collars fastened sufficiently tight to be comfortable, and the loose ends of the adhesive plaster turned over them and secured by a roller. The connecting rods are extended by means of the...
Page 9 - Subsequent experience has taught me that it is better to close the wounds and retain the limb at perfect rest in its abnormal position until the external wounds have healed (which will generally be done in five or six days), before proceeding to break up the bony adhesions. little practice, and close observation, will soon give the necessary tact of knowing how to use pressure, without abusing it. In this case of young Clark, although the operation was very severe, and the force required to break...
Page 9 - Jersey City, aged 14 ; father healthy, but mother died of phthisis ; fell, when nine years of age, on the side-walk, striking her right knee on the curb-stone, producing a severe inflammation of the knee-joint, which confined her to her bed for some weeks. Leeches, cups, poultices, and the usual antiphlogistic treatment was adopted for some time, and finally resulted in a favorable recovery. For nearly a year she considered herself well, although she always had more or less pain in the knee-joint,...
Page 23 - ... improvement was most marked and rapid. At the end of a few weeks the instrument was applied, as in the other cases, and with the same happy results, enabling the patient to walk with crutches and obtain the benefit of out-door exercise, which added materially to the improvement of her general health. The setons were retained nearly ten months, being gradually reduced in size as the bone ceased to exfoliate and the pus became more healthy, until for a number of weeks they were hardly larger than...

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