The treatment of infantile paralysis / by Oskar Vulpius ; translated by A. H. Todd.

  • Vulpius, Oscar, 1867-1936.
Date:
1912
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of infantile paralysis / by Oskar Vulpius ; translated by A. H. Todd. Source: Wellcome Collection.

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    patient (now set. 20 years) can walk easily and without getting tired for two hours. He can also go upstairs (see Fig. 221). He earns his living as a town-clerk. There is bony ankylosis ; the left hip-joint is completely paralyzed; the right foot is in good position, and moves well. 2. F. J. Onset in second year. Treat¬ ment begun 1900. Severe contracture of hip and knee, with subluxation and flail equino-valgus foot. Mode of progression was a swinging of the body between the arms. Treatment: Section of the muscles attached to the anterior superior spine, arthrodesis of knee, plastic operation on quadriceps, arthrodesis of foot, tendon transplantation in leg. Result: Patient, now set. 14 years, can walk at a good pace without any support. His father told me that he was the terror of the other village lads, on account of his pugnacity. Good bony union has taken place, the artificial quadriceps gives a full rango of extension ; but the transplantation in the leg is not altogether satisfactory, for the foot gives way somewhat. 3. W. F. Onset at one year; treat¬ ment begun at nine. Patient clambered about on his hands and feet, or occasion¬ ally on his knees (Fig. 222). Hips, markedly flexed, abducted, and exter¬ nally rotated. Knees flexed. Position of legs recalled that usually adopted after Fio. 223. the reduction of bilateral congenital dis-