On the successful treatment of cases of congenital displacement of the hip-joint by complete recumbency with extension for two years / by William Adams.

  • Adams, William, 1820-1900.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: On the successful treatment of cases of congenital displacement of the hip-joint by complete recumbency with extension for two years / by William Adams. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ION THE SUCCESSFUL TREATMENT OF CASES OF CONGENITAL DISPLACEMENT OF THE HIP-JOINT BY COMPLETE RECUMBENCY WITH EXTENSION FOR TWO YEARS.1 2 At the meeting of our Association held at Brighton in August, 1886,1 read a paper in the Surgical Section on The Treatment of Congenital Displacement of the Hip-joint by long-continued Re- cumbency and Extension.3 In that paper, after passing in review the chief points in the pathology and clinical history of this affection which are now well established, I brought prominently before the members the treatment adopted by one of the leading American surgeons, Dr. Buckminster Brown, of Boston, who had carried out the recumbency and extension treatment more thoroughly and for a longer period than had hitherto been done. Dr. Brown had in 18853 published the account of a very successful case, with photographs taken two years and three months after the commencement of treatment, which had been continued strictly for thirteen months. The child then began to walk in a go-cart for five months longer. To all appearance in this case, one of double displacement in a girl aged 4 years, there was a complete restoration of the natural form of the hips, and the lordosis was also completely removed. The walk was said to be natural, and the patient’s health not in any way injured. This success encouraged me to give the treatment a fairer trial than I had hitherto done. At the time of reading the paper I had commenced the treatment in two cases, and since then have applied the same method to four other cases. Two of the six cases were double, that is, both hip-joints affected, and four single; in three of the latter the right hip-joint was affected, and in one the left hip-joint. In two of the cases, both examples of single displacement occurring in girls of about 2 years of age at the commencement of treatment, recumbency with extension has been carried out to the full period of two years in one, and two years and seven months in the other case; and they have been now some months walking about with a steel support on the affected limb. At the present time I am enabled to report that the result of this treatment appears to be extremely satisfactory, and equally so in both cases. When these children are examined undressed on 1 Read in the Section of Surgery at the Annual Meeting of the British Medical Association held at Leeds. 2 Journal. April 23rd, 1887. * Double Congenital Displacement of the Hip.” By Buckminster Brown, M.D. Boston : Cupplee, Upman and Co. 1886.