The treatment of paralytic deformities / by Robert W. Lovett.

  • Lovett, Robert W. (Robert Williamson), 1859-1924.
Date:
1910
Catalogue details

Licence: In copyright

Credit: The treatment of paralytic deformities / by Robert W. Lovett. 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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    tion in the following paper the fact that the opera- tive is merely one aspect of the whole question of the treatment of paralytic deformity which, for the time being, has overshadowed the other aspects of the subject to their detriment. To the importance of these other aspects I shall ^direct your notice especially in their relation to tendon transplantation. The paper will first deal with the varieties of paralytic deformity and of the need of their proper recognition and analysis as a basis for any effective treatment. Then will be presented the prevention of paralytic deformity. The question of treatment will be considered first in its non- operative and secondly in its operative aspect. The conclusions which I shall present will consist, first, of the results of the experience of my col- leagues and myself in operative and non-operative treatment at the Children’s Hospital, Boston, where, from 1883 to 1907, inclusive, 1,225 cases of infantile paralysis applied for treatment; and, secondly, it seemed to me desirable to present with regard to tendon transplantation a consensus of the opinion of my fellow members of the American Orthopedic Association, to whom I have addressed a circular to which they have replied. From these various data, which are larger than any one man’s operative experience would be, and from the literature of the subject, I shall then present certain conclusions. My paper will deal wholly with the deformities due to anterior poliomyelitis, and in the space at my disposal principles rather than details must be dealt with. A. Varieties of Paralytic Deformity. As paralytic deformity arises from various causes, it occurs in various forms. Intelligent