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An Inquiry Into the Difficulties Encountered in the Reduction of Dislocations of the Hip

An Inquiry Into the Difficulties Encountered in the Reduction of Dislocations of the Hip


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1896 Excerpt: ...of dislocations. Not a single one remains in shop or hospital, and only in works on general surgery can one still find the long catalogue of obsolete contrivances, not one of which was constructed upon the true pathology of dislocations. The reduction of a dislocation is far from being a simple thing, and no one who truly estimates the condition of his patient will regard it as such. As a preliminary measure, therefore, and before the limb is touched, I earnestly recommend fixation. The fixation of the pelvis will be seen to be of the utmost importance, if we take into consid FlG. 57. eration its shape. Had Nature given the pelvis a broad, flat dorsal surface, reduction would have been easier; but dislocations would be more frequent. In giving to man a narrow dorso-sacral support, Nature has thrown safeguards around the articulation, for the rocking and tilting pelvis readily accommodates itself to motion from the thighs, and thus circumvents many a vicious attack. Fig. 5S. With the thigh bone dislocated, all efforts at its reduction are applied through the thigh itself, or through the bent leg, and always at the outer angle of the pelvis. Thus the femur, which we are attempting to restore, becomes the direct agent or lever in moving the pelvis, and contributes to our defeat. The chief advantages of rotation and circumduction as methods of reduction are that they do not communicate to the pelvis their motion in the same degree that other methods do. But it is not difficult to show that reduction by circumduction is both unscientific and dangerous. reversing the steps of a dislocation) to lift the thigh in the direction of its long axis. This can be done by placing the bent elbow beneath the bent knee, though this is often done at great disadvantage and is t...


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Product Details
  • ISBN-13: 9781130269857
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 48
  • Spine Width: 3 mm
  • Width: 189 mm
  • ISBN-10: 113026985X
  • Publisher Date: 01 Mar 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 104 gr


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