Morbus Coxarius / by Lewis A. Sayre.

  • Lewis Sayre
Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: 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.

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    relative merits of the t*o instruments, it is not for me to judge; the profession will of course select according to their particular preferences. I deem these remarks neces- sary m order that the profession may not confound the two instruments, as they would be led to do by the remarks of • 4.U nr i0Sit,’rJnacle in }lis clinical lecture, and contained in the Medical limes of December 15th, in which he says • some modifications and improvements have been made in this splint (referring to Davis’s) by Dr. L. A. Sayre, and among some it is known as Sayre’s splint; ” thereby con- founding the one instrument with the other, and thus mis- leading the profession. I have therefore taken this opportu- nity of showing you the two instruments, in order that you may observe the essential differences between them by which you will see that they are two perfectly distinct instruments, although both intended to accomplish the same object. I simply request that you will not confound the one with the other, as I have never made any claim to Dr. Davis’s instrument. [Di. Sayre then exhibited one of his own splints, as well as one of Dr. Davis’s, and showed the method of their ap- plication and working.] I have recently constructed another instrument, which I regard as a very decided improvement upon the splints I have just shown you (see Dig. 1). The principle of exten- sion and counter-extension embraced in it is identical with that of the original splint, with this improvement, that the extension is made from above the knee instead of below it, leaving the motion of the knee-joint entirely free. This 13 accomplishing a desirable object, and I now employ this instrument in every instance where it can be used. There are cases, however, in which it cannot be used, as for in- stance in a very young child whose thigh is too short to afford sufficient surface for the attachment of adhesive plaster: nor can it be used in a case where fistulous open- ings are so numerous and so situated as to present the same obstacle. In these cases the original long splint is em- ployed (see Fig. 2). Treatment 'in the Second Stage.—The treatment in this stage of the disease must depend upon the condition of the joint. If the disease is of a subacute character, and the quantity of effusion small, the treatment that has been advised for the first stage may prove entirely successful in the second.