Results in cases of hip-joint disease treated by the portable traction splint without immobilization, except during the inflammatory stage of the disease / by Lewis A. Sayre.
- Sayre, Lewis A. (Lewis Albert), 1820-1900.
- Date:
- 1892
Licence: Public Domain Mark
Credit: Results in cases of hip-joint disease treated by the portable traction splint without immobilization, except during the inflammatory stage of the disease / by Lewis A. Sayre. 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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![hip and thigh, and driving a splinter of wood into the outside of the left thigh just below the tronhanter luaior. This splinter of wood was cut out by Dr. George A. Peters the same afternoon, and the wound healed kindly in a short time. Some two months after this accident he began to limp, and walked so stiflSy and awkwardly that he was taken to Dr. Valen- tine Mott, who advised him to be put to bed, with a stimulating liniment applied to the joint. In a few weeks he seemed so much better that he got up and walked very comfortably, but, goina down stairs, caught his left foot in the banister and fell down a flight of twelve steps, striking on the marble hall floor on the same left hip that had been previously hurt. Having disobeyed the orders of Dr. Mott as to perfect rest in bed, they did not inform him of this last accident, thinking that the trouble would soon subside by rest again in bed. But at the end of three weeks he had grown so much worse that Dr. Mott was called again to see him, and, finding him so much worse than at his last visit, some two months before, he called Dr. W. H. Van Buren in consultation, who at once diagnosticated it as a case of hip disease, and advised to have me see him. I saw him in consultation with Dr. Mott and Dr. Van Buren, and found him with the left thigh flexed, abducted, toes everted, and hip apparently ankylosed from muscular rigidity. The least attempt at movement without traction caused the most exquisite pain, as did pressure on the joint from any direction. Very slight traction, with flexion and eversion, relieved the pain, and permitted the slightest movement of the joint when the pelvis was held immovable. Diagnosis.—Hip disease, second stage, with effusion in the joint, in which opinion we all agreed. Dr. Van Buren requested that I should take charge of the case, to which Dr. Mott cheer- fully consented. 1 placed him in bed with the foot elevated, applied a long splint to the right side of the body and leg, and applied adhesive plaster with weight-and-pnlley extension to the left leg, and also applied traction from the u])per and inner portion of the thigh by a weight and pulley at the side of the bed. A blister 4x4 inches beliind the trochanter was applied. A pillow was placed under the thigh and leg to accommodate tlie flexion of the limb, and the thickness of this support was gradually re- duced as the limb became straighter, and in a few days it was down in the bed and fmrallel with the other limb. The blister had a very decided influence on the effusion in the joint, and was repeated three times in the course of a few weeks. From the moment that the double traction was applied to the limb his pain was entirely relieved. No sedatives of any](https://iiif.wellcomecollection.org/image/b22379861_0011.jp2/full/800%2C/0/default.jpg)
