File:Lectures on orthopedic surgery (1899) (14796486563).jpg

Identifier: lecturesonortho00ridl (find matches)
Title: Lectures on orthopedic surgery
Year: 1899 (1890s)
Authors: Ridlon, John, 1852-1936 Thomas, Hugh Owen, 1834-1891 Jones, Robert, joint author
Subjects: Orthopedics
Publisher: Philadelphia, E. Stern & Co., Inc.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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water to cover, by 2 or 3inches, the widest bandage when standing on its end.It will not be necessary to add salt or alum to the waterto hasten the setting ; nor should the water be too hot.The plaster-sediment left in the bottom of the pail inwhich the bandages have been soaked, should not beused to rub into the jacket, as it will greatly delay thesetting of the plaster and even soften that which isalready set. A competent assistant is of the greatestimportance, and he should rapidly and carefully smoothout every wrinkle and rub well in every layer as it islaid on. The patient should be clothed in a seamless, skin-fitting knitted vest, made long enough to reach belowthe middle of the thighs, and well pulled down; itshould fit without a wrinkle or a loose place. The sur-gical-instrument shops usually carry wool shirts of thisorder, but recently we have generally used tubular 79 stockinet of cotton of gray color. This stockinet canbe obtained of the knitting-factories in pieces of any
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Fig. 49.—Plaster-jacket applied with thepatient partially suspended. number of yards, and can be cut in any required length.It is much less expensive than the wool vests. All other 80 clothing should be removed down to the level of thegreater trochanters. If the patient be a woman or an adolescent girl, breast-shields, or in lieu of these pads of cotton-wadding ofproper size, should be placed between the breasts andthe shirt; and if the jacket is to be made removable astrip of zinc or block-tin 2 inches wide and long enoughto reach from the neck to the pubes should be placedunder the shirt for protection to the patient whenrapidly cutting off the jacket. On the outer side of theshirt pads of felt should be placed over the iliac crestsand long, narrow strips along each side of the spinousprocesses included in the kyphosis. The floor shouldbe covered with a sheet; and two chairs placed for thesurgeon and his assistant. Now, all being ready, the patient should stand be-neath the suspen

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