File:A treatise on orthopedic surgery (1903) (14741748206).jpg

Identifier: treatiseonorth00whit (find matches)
Title: A treatise on orthopedic surgery
Year: 1903 (1900s)
Authors: Whitman, Royal, 1857-
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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A perfect cure obtained by the stretcher treatment. The situation of the disease is shownin the X-ray picture, Fig. 34. The method of attaching the patient to the frame varies some-what according to the situation and character of the disease;. I nordinary cases, as has been stated, a canvas apron, similar to thaiused with the back brace (Fig. 41), is applied, and is buckled tothe sides of the frame. If advisable the shoulders may be helddown by straps crossing the chest, or by axillary straps connectedby a chest band. If still more effective fixation is desired, as indisease of the upper dorsal region, the anterior shoulder brace, asused with the back brace (Fig. 39), may be attached to the axil- 72 ORTHOPEDIC SURGERY larv straps. In disease of the upper and middle regions of thespine restraint of the legs is not necessary, but in lumbar disease Fig. 34.
Text Appearing After Image:
An X-ray picture of the case (Fig. 33) before treatment. The situation of the disease at thejunction of the first and second lumbar vertebra; is indicated by the lateral deviation, andby the approximation of the dotted lines 1 and 2 as compared to the others. TUBERCULOUS DISEASE OF THE SPIXE. 73 a broad swathe should be passed across the thighs, and if psoasspasm is present traction may be employed. In disease of the upper region of the spine a certain amount oftraction is desirable to aid in the reduction of deformity and toprevent the patient from raising the head. This traction isusually applied by means of the halter as used with the jurymast. The straps are attached to a crossbar at the upper extrem-ity of the frame, and traction may be made by simply tighteningthem, or if the upper part of the frame is somewhat elevated theweight of the patients body makes the proper extension. Thisposition has the advantage, also, of allowing the patient a betteropportunity to see what is going

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