Indispensable Orthopaedics, a Handbook for Practitioners; Tr. from the 6th French Ed

Indispensable Orthopaedics, a Handbook for Practitioners; Tr. from the 6th French Ed

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1916 edition. Excerpt: ... walked, and whose deviations, helplessness and troubles of nutrition were so grave that it did not appear justifiable to treat them--and who, after the daily attention we have given them for six months, a year or two years, have been able to walk hundreds of metres at a stretch, and without support, or simply with the support of a walking stick. The Surgical Treatment of Little's Disease. In the grave cases, it is necessary to know how to associate with purely orthopaedic measures, all the resources of surgical treatment. Professor Vulpius of Heidelberg, who has an especial knowledge of the subject, has been good enough to write the Chapter on surgical treatment, as he did the Chapter in Infantile Paralysis (Chap. x). This is his account, word for word. The methods described on p. G8 of the modern surgery of the tendons may be applied also to spastic paralyses, which we arc going briefly to discuss by referring especially to cerebral infantile paralysis and Little's disease. You will find in those cases cither spasms in certain muscles, especially in the flexors, or at the same time pareses in the antagonist muscles, a mixture of paralysis and cramps of different degrees. The deformities resulting from these muscular contractions are quasi-typical. The foot is always found in the equine position, very pronounced, to which is often added varus and rarely valgus. At the knee, we see a flexion more or less considerable; at the hip, flexion, adduction, and a certain degree of rotation inwards. The spasms and contractures increase w hen the patient commences to walk. It is a very grave and painful condition, especially in bilateral cases (Little's disease). In cases of cerebral hemiplegia the same spasms in the arms are naturally found, and, more

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  • Paperback
  • 189 x 246 x 7mm | 240g
  • United States
  • English
  • black & white illustrations
  • 1236755650
  • 9781236755650