File:Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery (1920) (14596720120).jpg

Identifier: surgicaltreatmen02warb (find matches)
Title: Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery
Year: 1920 (1920s)
Authors: Warbasse, James Peter, 1866-1957
Subjects: Surgery
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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auze band-age until it became hard. The child could then be turned over and wasfound to lie in a well-fitting and comfortable bed, in which it could be carried 328 SURGICAL TREATMENT about and deposited wherever desired. The use of this simple apparatusgives much satisfaction (Fig. 1021). In high dorsal disease a jury-mastmay be attached to this splint and extension upon the head secured (Fig.1022). Treatment upon the tubular frame of Bradford (see Vol. I, page 666)is most in favor in America. The frame should be about 10 cm. (4 inches)longer than the child. The width of the frame should correspond to the distance between thetwo shoulder joints. The covering of the frame should be tight. Strongcanvas, laced across and protected in the middle with rubber cloth, is thebest covering. Two pads of felt should be sewed to the canvas on either sideof the diseased bone so that the disease shall be lifted away from the canvasand sustain no pressure. These pads should be about 15 cm. (6 inches)
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Pig. 1022.—Reclining Plaster-bed in the Treatment of High Tuberculous Spondylitis. Jury mast added for high dorsal or cervical disease. long and 2.5 cm. (1 inch) thick. The child wearing only an undershirt isfixed to the frame by a broad band about its trunk and bands about the legs. An opening in the canvas, back of the anus, covered with a separate stripallows of defecation and urination without taking the child from the frame.This frame may be carried about, and the child deposited wherever desired.As the patient becomes accustomed to the frame, the lateral tubes should bebent backward in order to give overextension to the spinal column (Fig.1023). The frame may be made with sliding tubes or a turnbuckle so thatits length and width may be regulated. Once daily, the fixation should beliberated and the child gently turned on its side to have its back washed andrubbed with alcohol and the underclothes smoothed out. In disease of the upper dorsal or cervical region a chin and occiput

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