Conservative surgery

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Appleton, 1867 - Orthopedics - 314 pages
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Page 230 - ... apparatus, by means of which my treatment embodying the principles advocated in this paper can be carried into effect, is simple and easily explained. " It must be borne in mind, that I have already said that the essential parts of the apparatus are, means of exerting an elastic, continually-extending force on one side, and a resisting counter-extending one on the other.
Page 21 - The head of the bone receives its supply of blood chiefly through the neck and reflected capsule, and when both are severed, the small amount furnished by the round ligament is found to be insufficient. " When- the fragments are once displaced, it is difficult, as I have already explained, if not impossible, to replace them. " The direction of the fracture is generally such that the ends of the fragments do not properly support and sustain each other when they are in apposition. "The fracture is...
Page 235 - ... fasten the latter around the thigh, always taking care to have the buckle on the pelvic portion of the splint in front ; the screw of the splint regulates its length, so that the required amount of extension can be secured. When all is correctly arranged, and proper extension made, the upper extremity of the splint should fall just below the crest of the ileurn. Infrequency of Sony Anchylosis. — I now invite the reader's attention again to the quotation from my essay on "The Pathological Basis...
Page 134 - ... applicable to the present question, that they are worthy of being quoted: — " *Some nations have fancied that nature did not give a good shape to the head, and thought it would be better to mould it into the form of a sugar-loaf. The Chinese think a woman's foot much handsomer, if squeezed into a third part of its natural size. Some African nations have a like quarrel with the shape of the nose, which they think ought to be laid as flat as possible with the face. We laugh at the folly, and...
Page 134 - ... is not so elegant as we can make it by the confinement of stays. " The common effect of this practice is obstruction in the lungs, from their not having sufficient room to play, which, besides tainting the breath, cuts off numbers of young women in the very bloom of life. But nature has shown her resentment of this practice, by rendering above half the women of fashion deformed in some degree or other.
Page 212 - This is a general principle, appertaining not only to the hip, but to all joints similarly affected. The application of this universal principle should guide us in any joint affection, whether the disease be internal or external, as soon as the disease renders the movements of the joint painful. When this fact was fully established in our mind, we were led to seek the best way of counteracting the contraction of the muscles, and soon came to the conclusion that a constantly acting force, however...
Page 296 - Tuberculous scrofulous deposits, then, whether in the offspring of scrofulous consumptive parents. or the offspring of persons free from scrofulous tuberculous disease, are alike and in every case owing to the insufficient, imperfect performance of the respiratory function.
Page 214 - The first splint, as well as all my modifications, admits of free motion at the diseased joint, but rigidly excludes all friction of the diseased surfaces within the joint upon each other. This we consider the essential element in the treatment of the disease under consideration, viz., motion without friction.
Page 173 - ... which is continuous with the great tarsal synovial membrane ; and one for the fourth and fifth metatarsal bones with the cuboid. The synovial membranes of the tarsus and metatarsus are thus seen to be six in number (fig.
Page 234 - Fig 8), the pieces of webbing only being left outside free. Now buckle the ankle portion of the splint upon the external face of the limb by means of the webbing ; protect the skin of the groin and parts to be covered by the perineal band by a piece of old, soft napkin or table linen, several...

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