The fixative power of traction in the treatment of hip disease / by A.B. Judson.

  • Judson, Adoniram Brown, 1837-1916.
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: The fixative power of traction in the treatment of hip disease / by A.B. Judson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    6/22 (page 4)
    ployed to secure immobility of the limb.1 Dr. C. Fay, ette Taylor refers to “the quiet fixation of the joint- which the splint has been a convenient means of accom- plishing.”2 Dr. Louis Bauer says: “Whatever benefit I have derived from it (extension) is unquestionably due to its collateral effect upon fixing the affected articula- tion.” 3 Mr. Thomas, referring to extension, writes : “ In its application it involves, unavoidably, a fractional degree of fixation.” 4 5 Dr. L. M. Yale writes : “ When the muscu- lar spasm is urgent, fixation cannot be secured, save by the use of a force as constantly acting as that which is to be overcome, and the agent best adapted to this pur- pose is traction.” 6 Dr. J. A. Wyeth writes : “ Extension is made by means of the screw-key, until there is free- dom from pain and a comfortable fixation of the limb.” 6 Dr. N. M. Shaffer writes : “When traction exists the pa- tient has the advantage of that peculiar and perfect im- mobility which the extension of the long hip splint af- fords.”7 The fixation of the hip-joint is one of the most difficult problems in mechanical surgery.8 In the first place, 1 Trait£ de Th^rapeutique de la Coxalgie, p. 285. Paris, 1867. - The Medical Record, p. 290. September 1, 1867. 3 Lectures on Orthopedic Surgery, p. 282. Second Edition. New York, 1868. 4 Hip, Knee, and Ankle, p. 10. Third Edition. Liverpool, 1878. 5 The Medical Record, p. 27. January 12, 1878. 6 New York Medical Gazette, p. 243, April 17, 1880. 7 Archives of Medicine, p. 198. October, 1880. The opinion has been expressed by the present writer that “traction, however applied, is unavoidably accompanied by fixation,” that “ the advantages derived from the traction exerted by the hip splint are due solely to the fact that it secures fixation,” and that “ fixation is un- doubtedly one of the principal functions of the long hip splint.” New York Medi- cal Journal, p. 17. July, 1882. St. Louis Courier of Medicine, p. 370. May, 1881. The Medical Record, p. 738. June 26, 1880. 8 In 1828 Sir Charles Bell said : “No instrument has ever been effectual in keeping the thigh and trunk fixed.” London Medical Gazette, p. 139, January 12, 1828.