Synopsis
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. 1861 Excerpt: ...length as the other limb. Having fixed the pelvis with one hand, I flexed the thigh, jerking the limb without using much force. The adhesions were soft, and yielded readily. Very slight pain followed the separation of the adhesions. A gutta-percha splint was applied, and it was not removed for eight days; at the expiration of which time passive motion was instituted. At first, gentle movements only could be borne; but they were gradually increased, until the limb could be perfectly flexed and extended. For six weeks after the rupture, there was scarcely any voluntary power of flexion of the thigh, notwithstanding that tenderness on motion had ceased. From this time, however, motion began to increase, so that in the course of another six weeks there was considerable power of voluntary motion. Obliquity of the pelvis was in great measure overcome, and the sole of the foot was in contact with the ground. The foot could now be thrown well forward in walking. Five months after the operation the thigh could be flexed without assistance beyond a right angle, and it could be fully extended; the pelvis had regained its horizontal position, and the foot could be well flexed in walking. In March, l857, this patient walked with a stick, but firmly. In March, l858, in regard of size and firmness, the two limbs were nearly equal; the buttock, also, had nearly regained its normal size. A stick was used for support when she walked to some distance from home, but in the house it was no longer used. All the motions of the hip were perfect, and they could be employed unaided, except extreme flexion of the thigh. This thigh could not be flexed so perfectly as the other. 1 had an opportunity of seeing this patient in September, l860. There was scarcely the slightest difference ...
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