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Adjustable hand and foot extension appliances
ADJUSTABLE HAND AND FOOT
EXTENSION APPLIANCES* HARVEY C. MASLAND, M.D. PHILADELPHIA
E
XTENSION upon the hand or foot to reduce fracture deformity is often very unsatisfactory, particuIarIy if the fracture is near the joint, as in fractures of the Iower third of the Ieg. The foot skate, Buck extension or, in a simiIar condition in the forearm, adhesive pIaster to the hand, have their Iimitations. Whether it be a bandage Ioop around the
to the dorsum of the foot we11 back to the rise of the Ieg. The hee1 plate is adjusted to set ffat against the hee1. It can be changed to different positions aIong the hee1 shouId the need arise. Tightening the wing nuts cIamps the sIotted pIates against the respective padded pIates and the whoIe becomes a rigid but a nonconstricting and a non-sIipping grip upon
FIG. 2. Hand FIG. I. Foot
grip. ComfortabIe. Note the arch contacting with the leg; heeI pIate adjustabIe or Iow on the hee1.
plate high
grip without padding, adjustable any width, any angle.
to wrist
the foot and cannot be puIIed off. There upon the main vesseIs, is no pressure so practicaIIy no circuIatory obstruction. part or an adhesive pIaster, there is a The meta padded pIates give an evenIy corded pressure upon the soft tissues. distributed pressure upon the soft tissues. With my own type of sphnts I have The hoIes aIong the sIotted plates are for imbedded pIates with projecting ends for the attachment of the cords or extension the attachment of other spIint pieces in a mechanism. According as you attach the pIaster sIipper or a pIaster gIove. Where cords in a hoIe in the Iine of the Ieg or there is Iaceration of the parts, requiring forward or backward, you can make a dressings or surgica1 attention, a pIaster straight extension of the Ieg, an extension cast covering the parts is not advisabIe. with ffexion or extension of foot upon Ieg. To meet a11 these needs, I have devised It is a matter of a few seconds to Ioosen the two apphances iIIustrated. The princithe wing nuts and shp the mechanism off pies of operation of both are the same. the foot in order to give the foot any The instrument is best in two sizes, one needed attention. for smaher chiIdren and the other for This device can be used with a fracture ages from about tweIve years up. It can box, a Thomas sphnt, puIIey and weight, be sIipped over the foot whether the foot BaIkan frame or, in short, with any of the is covered with a surgica1 dressing or is usua1 methods of correction by extension bare. The padded arch pIate is adjusted of fracture deformities of the Iimb. * Read before the Northern Medical Association, March 19, 1928. 55
EXTENSION APPLIANCES* HARVEY C. MASLAND, M.D. PHILADELPHIA
E
XTENSION upon the hand or foot to reduce fracture deformity is often very unsatisfactory, particuIarIy if the fracture is near the joint, as in fractures of the Iower third of the Ieg. The foot skate, Buck extension or, in a simiIar condition in the forearm, adhesive pIaster to the hand, have their Iimitations. Whether it be a bandage Ioop around the
to the dorsum of the foot we11 back to the rise of the Ieg. The hee1 plate is adjusted to set ffat against the hee1. It can be changed to different positions aIong the hee1 shouId the need arise. Tightening the wing nuts cIamps the sIotted pIates against the respective padded pIates and the whoIe becomes a rigid but a nonconstricting and a non-sIipping grip upon
FIG. 2. Hand FIG. I. Foot
grip. ComfortabIe. Note the arch contacting with the leg; heeI pIate adjustabIe or Iow on the hee1.
plate high
grip without padding, adjustable any width, any angle.
to wrist
the foot and cannot be puIIed off. There upon the main vesseIs, is no pressure so practicaIIy no circuIatory obstruction. part or an adhesive pIaster, there is a The meta padded pIates give an evenIy corded pressure upon the soft tissues. distributed pressure upon the soft tissues. With my own type of sphnts I have The hoIes aIong the sIotted plates are for imbedded pIates with projecting ends for the attachment of the cords or extension the attachment of other spIint pieces in a mechanism. According as you attach the pIaster sIipper or a pIaster gIove. Where cords in a hoIe in the Iine of the Ieg or there is Iaceration of the parts, requiring forward or backward, you can make a dressings or surgica1 attention, a pIaster straight extension of the Ieg, an extension cast covering the parts is not advisabIe. with ffexion or extension of foot upon Ieg. To meet a11 these needs, I have devised It is a matter of a few seconds to Ioosen the two apphances iIIustrated. The princithe wing nuts and shp the mechanism off pies of operation of both are the same. the foot in order to give the foot any The instrument is best in two sizes, one needed attention. for smaher chiIdren and the other for This device can be used with a fracture ages from about tweIve years up. It can box, a Thomas sphnt, puIIey and weight, be sIipped over the foot whether the foot BaIkan frame or, in short, with any of the is covered with a surgica1 dressing or is usua1 methods of correction by extension bare. The padded arch pIate is adjusted of fracture deformities of the Iimb. * Read before the Northern Medical Association, March 19, 1928. 55