Recent Literature Die krankhaften Störungen des Baues und der Zusammensetzung des menschlichen Körpers. (Allgemeine pathologische Morphologie. . Von Dr. Edwin Klebs, O. O. Professor der allegemeinen pathologic und der pathologischen Anatomie an der Universität Zürich. Mit 79 farbigen Abbildungen im Text, und 47 Farbentafeln. pp. i-xviii, 1-836. Zeua: Verlag von Gustav Fischer. 1889

1890 Boston Medical and Surgical Journal  
He related a recent case iu which this procedure followed by traction in the line of the deformity, had secured a good result. He had recently performed excision in another case in which disease of the acetabulum and femur had been produced by the application by the physician in attendance of traction in a straight line, according to Thomas's method. In excising the hip he usually makes a section through the great trochanter in such a way as to allow the lesser trochanter to go into the
more » ... um and so prevent the formation of a flail joint. thomas's splint. Dr. Ridlon said he did not think Thomas, of Liverpool, made traction in any line. Dr. Phelps said that Mr. Thomas would treat a case when the leg is flexed at right angles by lashing the patient to the splint and then with his wrench bending the splint down as nearly as possible to a straight lino. That is a form of traction which produces great intra-articular pressure and would if continued for any length of time, produce destruction of the joint. Dr. Ridlon said tha the had used Thomas's hipsplint in some twelve or fifteen cases with great satisfaction. He found it cheap and easily applied. It had not caused destruction of tissue, but on the contrary had relieved symptoms and promoted recovery. Dr. L. A. Sayre said it seemed as if the profession were determined to misunderstand him, for he had endeavored for years past to make clear what he meant by traction in the line of the deformed limb ; it is to make traction in such a way as to separate Blightly the bone from the base of the acetabulum, and so prevent pressure, gradually changing the line of traction until the limb is brought parallel with the other limb, and then apply the splint ; whereas, if one employed
doi:10.1056/nejm189001161220306 fatcat:cw4uqzgabrfxbfohkpksazrnxe