File:Cleveland medical gazette (1895) (14578460609).jpg

English:
Rachitic deformity of the lower extremities: Fig 8 shows a marked deformity; the patient was six years old and the bones were very hard; Fig 3 shows one of the most aggravated forms of knock-knee and anterior curvature of the tibia corrected mechanically; Fig 4, aged five years, with double bow-leg, the primary curvature being immediately below the head of the tibiae; Fig 5 shows the result of treatment; Fig 6 required very much the same operation, and the after treatment was the same except the plaster of Paris dressing had to be removed more frequently because the patient had eneuresis, and they were constantly soiled

Identifier: clevelandmedical1118unse (find matches)
Title: Cleveland medical gazette
Year: 1896 (1890s)
Authors:
Subjects: Medicine
Publisher: Cleveland OH : William W. Williams
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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g preferable. Manipulations of the extremities daily or two or threetimes per week is of great benefit. In case of bow-leg with the primary curve below theknee this is carried out by grasping the head of the righttibia with the left hand and the malleoli with the right handand gradually but forcibly bending the ankle outward,repeating this a number of times. It will be found that thebones are quite yielding. For the left leg the reverse iscarried out. Mechanical treatment Jor bow-leg. Of the innumerablebraces invented, nothing seems to stand the test of time anddo the work so well as the Knight brace, to be used forcurvature of the tibia, but is of no value when the curvatureis in the femur. The brace has two pressure points uponthe inside of the leg, viz., the internal malleolus below, andthe head of the tibia, with the internal condyle above. The counter-pressure is made upon the convexity of thecurve at the greatest prominence, or as may be desired, bythe use of straps and buckles.
Text Appearing After Image:
Fig. 6. Fig. 7. ILLUSTRATING DR. McCURDYS ARTICLE. McCurdy : Deformities of the Lower Extremities. 667 The Knight brace has an extra bar directly back of theleg, which prevents it from twisting around as it would dowithout it. If the curvature is in the femur a higher pressure pointmust be selected along the femur and a point made in thebrace opposite the knee. Mechanical treatment, in cases of knock-knee is not aseffective as in cases of bow-leg at the same age. Here there are but two pressure points, viz., externalmalleolus below, and the femur below the trochanter above,counter-pressure being made upon the internal condyle ofthe femur by the knee-pad. In this brace a joint is made opposite the knee. Operative treatment may be subdivided as follows: Osteocampsis. Osteoclasis. Subcutaneous osteotomy—Cuneiform or multiple. Osteocampsis is a bending of the bone, and may be con-sidered as an exaggerated manipulation. This may be doneby the use of the hands or by an osteoclast. Osteocl

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