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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    location of the hips. Operation : On the left—Division of spinous muscles, arthrodesis of foot and ^knee. On the right—Plastic operation on quadriceps, and subtrochanteric osteotomy of femur. When discharged, patient could walk if held by one hand. At the present time—six years after the operations—he is quite independent (Fig. 223). 4. A. L. Onset in first year. Treatment after four years, in 1904. Patient crawled on all fours. Left leg completely paralyzed ; right only partially affected. Operation : On left—Arthrodesis of knee and foot. On right—Transplantation in thigh and leg. Result: Patient, now eight years old, is on his legs all day long. I fre-: quently see him about. The arthrodeses and tenoplasties are both satisfactory. Good voluntary movement of the foot. 5. J. B. Onset at end of first year. Treatment at sixjand a half years, in 1904. Patient has various modes of locomotion. Sometimes he got about on his hands and knees (Fig. 224), at other times on his hands and buttocks, or else he sprawled his legs out sideways, Fig. 225. Fig. 226. and walked on his hands and legs. Left leg completely paralyzed ; right rather less severely affected. Hips much flexed, abducted, and contracted ; knees flexed ; feet equinus. Operation : On left—Arthrodesis of knee and foot, subtrochanteric osteotomy. On right—Plastic on quadriceps and arthrodesis of foot. Result: Patient, now ten years old, can walk without assistance for an hour, and is quite agile on his feet (Fig. 225). I went to see him recently, and found him playing with a top. The arthrodeses are quite firm, but the left knee is slightly flexed. The quadriceps con¬ tracts well. 6. S. L. Onset at six months, treatment at 3 years, 1904. Patient walked either on his hands and knees or squatting like a frog (Fig. 226). Contracture of knee and hip on left, together with tendinous equino-varus; pes equino-valgus on right. Opera¬ tions : Transplantations and arthrodesis of foot on left; transplantation below knee on right. Result: Patient is now seven years old, and can walk very well (Fig. 227).