The surgical treatment of the common deformities of children / by Walter Pye.

  • Pye, Walter, 1853-1892.
Date:
[1889]
Catalogue details

Licence: Public Domain Mark

Credit: The surgical treatment of the common deformities of children / by Walter Pye. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    explanations of the dislocation, and there is little evidence to support the idea that violence or mis- management in parturition ever produces the deformit}r, although it is possible enough that a traumatic dislocation at the hip may occur during a difficult labour. This is a condition which should be readily and permanently rectified. With regard to the treatment of this dislocation there is little to say, and that little is not encourag- ing. It may well be doubted if any plan has as yet resulted in the retention of the head of the femur in its place. All kinds of apparatus have been devised, without any real success, and various operations have been performed without evidence being brought forward of the actual result. Almost all standard works on surgei^, for example, contain a description of an operation for division of the tendons round the joint, with some scraping about the acetabulum, this to be followed by reduction now rendered possible. The head of the bone is to be retained in the socket for a given time, and passive movements, and later active ones, are to be practised. But in these cases, as a matter of fact, it is rarely if ever the case that any tendons call for division, and the acetabulum is either very flat, or filled up with fibrous tissue, or practically non-existent, so that the head of the femur, itself small and mis- shapen, can hardly be expected to remain at the level to which it may usually be brought by extension. Again, it has become rather a common practice lately to put a felt or leather jacket round the pelvis and abdomen, with what object it is difficult to