Evening star. [volume] (Washington, D.C.) 1854-1972, 1902-12-06
SUCCESS OF L0REN
Reduces Hip Dislocation and
Straightens Club Feet.
BLOODLESS METHOD
THREE HUNDRED PHYSICIANS
PRESENT AS WITNESSES.
Hip Bone Put in Position by Physical
Force - The Operation
Explained.

In the presence of three hundred OF the
brominent physicians and surgeons OF l"e
capital city Prof. Adolf Lorenz. the noted
Vienna surgeon. yesterday afternoon deHoh
urated his method of reducing congenitai
sip dislocations by the bloodless metnod.
No operation in recent years has attracteu
such widespread Interest as has TINS.
hears the name of the operator, VINO.
through years of patient research ana ex-
pertinent, has brought 1t to perfection. Inc
process of reduction by manipulation Has
been known for many years, but the LorehA
method is the one now generally accep'eu
by orthopedic surgeons. at least in Ger
MANY as the one productive OF the pest
results.
Medical Washington turned out to do
honor to the learned Austrian, ana Tor over
two hours watched him deftly manipulate
distorted limbs and correct the mistakes OIL
nature The clinic was at once so enter
taIning and Instructive as to call forth un-
stinted praise from those present, who APP
plauded again and again the mastery WORN
of Prof Lorenz He worked rapidly and
with a dizziness which showed thorough
understanding of his subject. and was as
modest and unassuming about 1t all as an
undergraduate. From every Standpoint tue
clinic was a great success. and when II was
over there was not one who regretted the
time he had given to 1t.
clinic was given in the amphitheater o.
Providence Hospital. Shortly before
o'clock DR.. Lorenz. accompanied by Dr.
Muller. his assistant. and DR.. s. s. Adams.
arrived at the institution. All the aVal!a que
space In the amphitheater was occupied py
the medical fraternity. and students from
Columbian and Georgetown found points OF
vantage in the windows to get glimpse OF
the operation.
In an adjoining room Eileen Callahan a
little girl of six years. was making ready
for the operation. Dr. Hasbronck was
waiting for signal to begin administering
the anaesthetic. Down stairs the parents
Of the title one were hoping that their baby
would go safely through the ordeal ana mat
the operation would be successful Inc
nurses moved noiselessly about, bringing IN
bandages and making everything ready for
the operation.
Greeted With Applause.
At length the professor appeared, dressed
In an operating apron with short sleeves
showing great. massive. muscular arms de-
veloped in practicing his method. He was
greeted with round after round Of applause.
and bowed his Acknowledgements. He
thanked the profession for the great honor
of being permitted to appear before the
medical fraternity of the nations capital,
and said he knew of no better way to show
his appreciation than by taking advantage
OF the opportunity to communicate theoret-
ically and practically one OF his eioodiess
methods, the most Important he thought.
being the reduction OF congenital hip dislo-
cation by. what he styled the functional
we;ght-bearing method. He explained
briefly, but with great clearness, the sew
oral steps of the operation The first step,
he said. was to place the head Of the femur
In the acetabulum. The possibility OF the
operation was limited by the age or the
children the limit being the seventh or
eighth year.
At this point the professor was inter
rupted and the tiny. limp form, now insensi-
Ne 70 in
placed upon the operating table. The CLOTH
ing was removed and the two legs brought
close together. 1t was seen at glance
that the left one was at least one men
shorter than It's fellow. and that nature had
erred in the location Of the head Of the
femur. or large bone of the leg. 1t was the
correction of this malformation that the
professor started out to accomplish. and IN
exactly two minutes and five seconds after
he began the leg was put into its correct
position.
work to accomplish this With his big
hands grasping the limb. he pulled and
stretched and pressed the muscles until 1t
seemed as II he would crush the tender
bones. He was rough. there is no mistak-
ing that, but the operation calls for that
very thing. and the professor threw his en-
tire strength into the work. AS he proceed
ed he explained.
First of ALL he said, all the soft parts,
the long muscles in particular. must be
stretched so as to overcome their resist
the muscles. but he found after while that
he either cut too much or not enough, and
finally. not caring 70 have two wound cav
tiles. he resorted to severing the muscles
simultaneously by overstretching them.
One by one he took up the different muscles
involved. explaining all the while those
which gave the greatest resistance ard
those which readily submitted. After these
nanipulations were completed he found
that he could pull down the bone so as TO
bring the head opposite the acetabulum-
- bad hAA,N Mi uhn hn ay-
planned. 1t was the end OF the preparatory
steps in the operation.
Putting the Bone in Place.
He then explained that the actual reduc-
ton was about to begin, and suiting the
action to the word. he commenced by trac-
ton on the limb to bring 1t to it's proper
place 1t seemed II the leg would lit
orally be torn from the body. so great was
the force exerted At length the bone slip
ped into It's proper position, and as 1t did
the physicians loudly appiauded. Prof.
Lorenz then demonstrated how easily it
could be slipped in and out Of place. ant
accomplished both operations with one fin
ger. Having reduced the dslocation. and
placed the bone where II rightly belonged.
he said the important thing then to be
complished was to keep II there. This he
did by fxation through properly applied
bandages He illustrated this important
phase OF the case by applying a bandage
himself.
To illustrate how thoroughly every detail
of the operation is looked after. the profess
sor showed a long strip of bandage which
he left right next the leg. In order that the
little patient. by drawing 1t to and fro
might alleviate the itching and massage
the leg to keep the skin healthy. The pro-
lessor explained that it was not necessary
by any means to confine the child to bed
BY building up shoe to compensate for
the shortening incident to the fixation the
child might so about. Professor Lorenz
dwelt upon the necessity of not being in
too great a hurry about taking off the cast
and charged his hearers when the time
came to remove 1t to do SO gradually AL
ways. however at night restoring the leg
10 Its primary extreme abduction.
Operated in Thousand Cases.
In closing he said he had used his nom
cutting. or bloodless. method In almost a
thousand cases. with very favorable results
He said he considered it the greatest re-
ward of his efforts that method had been
developed which gives good results In de-
Kr.x III ~k