File:Interstate medical journal (1906) (14597381207).jpg

Identifier: interstatemedica1319unse (find matches)
Title: Interstate medical journal
Year: 1906 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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of the thigh remaining powerful enoughto be of use in walking. This class of cases usually does well withbraces. Operative procedure, however, is justifiable, in that, by meansof it we may discard the wearing of braces. Such cases are much bene-fited by the employment of arthrodeses, or the similar operation em-ployed at the ankle, of exsecting the astragalus. By means of theseoperations the limb may be stiffened so that it does not give way under Fig. III. Anterior poliomyelitis. Involvementof both lower extremities. Extreme flexiondeformity at hips. Quadrupedal attitude. Upperextremities developed to high degree of muscularstrength. Simian appearance. Double knockknee. Treatment. Arthrodeses on ankle joints.Transference of sartorius to quadriceps tendonon left side. Exsection of contracted ilio-tibinlbands. Double osteotomy for knock knee. Ap-paratus and crutches. Result. Ability to assume upright position.Some power of extension of left leg on thigh.Gait active requiring crutches.
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Fig. IV. Radiograms. Showing results of destruction of ankle articulations.Arthrodeses for dangle foot in poliomyelitis anterior. SURGICAL PROCEDURES FOR RELIEF OF PARALYSES. 711 superincumbent weight, and the muscles that remain may place it inpositions favorable to progression. The third division of cases is of those where certain muscles in theextremity are lost; others are weakened, but there remains full muscularpower in the rest. The problem in this class of cases is to utilize themuscles which possess full muscular power, either by transferring theirtendons, or grafting their muscle-bellies into the tendons or muscle sub-stance of the weakened or lost muscles. In planning these operationsgreat care should be taken to determine the amount of power that existsin the muscle which is supposed to produce improvement in functionby its transference. First, the muscle transferred should be attached ina manner that will make its contraction functionally effective. Second,the tendon into

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