The pathology and treatment of morbus coxarius / by Lewis A. Sayre.

  • Sayre, Lewis A. (Lewis Albert), 1820-1900.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: The pathology and treatment of morbus coxarius / 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.

    15/39 (page 11)
    cated • and all the secretions and functions ot the body must be care- fully looked to and kept as nearly in a normal condition as possible. This plan is to be pursued until tlie more acute symptoms have sub- sided • but as the disease is chrbnic in its nature, time, as well as rest, is a very important element in its treatment. And as long confinement in bed is injurious to the general health, we must contrive some mechanical appliance which will give the necessary amount of extension and counter- extension to relieve the joint from pressure, while at the same time it allows it to have free motion, and permits the patient to take exercise in the open air. n In some cases, when the disease is very acute, and the child very small, this is best effected by placing him in a wire cuirass(l ig. 9), which is a modi- fication of Bonnet’s “ grand appareil,” and which will be found very useful. W1 len this instrument, or any other fixed apparatus, is employed, it is ne- cessary that the patient should be taken from it very frequently; and all the joints should be carefully moved, lest too long-continued rest may ter- minate in anchylosis, not only of the joint diseased, but of all the other articulations thus permanently deprived of motion. I am aware that Dr. Thomas, of Liverpool, has denied this doctrine; but having seen the result in a number of cases, I must be pardoned if I insist upon placing more confidence in my own personal observations than in the theories of