The sun. [volume] (New York [N.Y.]) 1833-1916, 1902-12-16
necessary for his rs-2osition of the dis
located thigh bone.

necessary for his rs-2osition of the dis
located thigh bone.
Another change from his original method
OF treatment came in the doctors announce
ment that he believed in leaving the leg in
its plaster cast for six months or more
Originally il was his scheme TO leave il
IN for three months and then, if necessary,
Ia replace The first with a second cast
BY this time the patient under opera
tion was already partly encased in the
pastHr of paris cast which DR.. Mueller
and his assistants had been working on.
The cast was nodded on the child's body
in such way a. tn hold the abducted leg
IN place. but 1t does not touch the child
skin. There IL first "A stockinette placed
on the limb. and about this il wound cot
ton padding and other wrappings. After
the plaster easement has hardened ard
shrunk. bands of linen can be passed freely
over the leg Within so that the skin may
I've kept cleaH and the flesh be allowed
to grow naturally.
DR.. Lorenz then explained how the
child was To b. made 10 walk AZ soon a.
the soreness had passed from the limb,
the wa king Icing done on specially
made shoe holding that foot up to the
position made necessary by the abduc-
lion Of the limb. There were also gym
na>tic exercises TO ba practised, he said.
Election and extension must always be
combined with abduction, no aided and
gradual reduction Of the extreme alb
duction 10 the normal bilateral position
of the legs was n matter Of from one to
two wears He said also that people must
dist ingui-h between the merely functional
and the anatomical results Of such an
operation.
i have used this method in upward Of
I. 900 cases" he said, with very favorable
results in the overwhelming majority of
the cases All over the word thu method
In. TtaI md l NJ oil ID toe
tised with the same good results. II means
something If you can promise that the de-
formity cannot get worse, even in unsuc-
cessful operations.
A characteristic of the operation,
want to say il to hold the parts in normal
position for length Of time and have the
normal functions carried on meanwhile
so far a. may b., so that at the end Of this
period IN" patient may carry on the normal
functions az will A. soon az the soreness,
has disappeared the child has to walk as
much a. possible"
Although between the lecture and talk.
the operation itself and the encasement Of
the patient in plaster DR.. Lorrnz had been
by TINS time half an hour altogether in the
operating theatre, the actual operation
had occupied only twelve or fifteen minutes
He wore a handage on his right wrist all
the time.
The second patient brought in was Made
leine DcvereuS. years o.u. from 307 East
Seventy-siNth street DIR. Lorenz in operat-
ing on her completed his part of the work
in less than five minutes. There were
watchers who declared that the operation
was done in three minutes. IL is a difficult
matter. however where the doctor is using
the subject for demonstration of one point
| or another TO say exactly when the opera
tion ITSELF is finished
While the second subject was on The table
a question was sent 10 DIR. Lorenz by one Of
the surgeons IN the audience who desired TO
know something Of the doctors estimate
of the condition of the soft tissues under his
II anipulation for his ,peration. In making
answer DR.. Lorenz said:
At one time | did not know how far 10
go. H. the case Of a fourt cen -year-old
child broke the shaft of the femur. An
other time ! broke the head of the femur.
In one child of twelve years the artery was
torn. | stopped AZ once in that case. The
boy recovered, but | could not succeed in
effect ing the reduction Of the hip deforrnity.
| had in another case more terrible acci-
dent. II was the case Of a girl of Is forced
the reduction. but the emurhead pressed
an artery against the hard wall ard had
gangrene set in in the whole OF the leg,
and had TO amputate the leg.
so | had to limit the age for operPt ion.
for the pliancy OF the parts is not uf'cient
TO allow II beyond u very early age
After the conclusion of the second opera
ton DR.. Gibney announced that DR. Lorenz,
owing to the condition Of his wrist. would
not perform the third operation.
As his manager | feel that J must not
tempt him too much" Or. Gibney said.
for want the other hospitals and UNDER
graduate and graduate schools to have
every opportunity
DR.. Mueller. however, performed the
third operation, on Helen krebs Q veal
old. Of PA Pulaski street, Brooklyn. and
he did IL in so short time that onlookers
put II from Ia TO minutes for the actual
operation
DR. Lorenz made known third difference,
or development, ~ his operation since its
inception. He said that he now operated
on both legs at once in cases OF bilateral
dislocation, and in such cases advocated
having the patient ride hobby horse for
their position of extreme abduction II
would seem to the lay mind that that
an old -fashioned big dictionary" would
be about the only thing a child with his
logs so abducted could ride
When. DR.. Lorenz was picking out the
three children for operation yesterday
morning. DR. Royal Whitman at the Hos
pital for the Ruptured and Crippled. asked
him to operate on a particular case which
is known to be difficult one DR. Lorenz
declined to do it. lie said that he would
be willing to undertake il in private
operating room with a physician present,
but not at public clinic.
Drs Lorenz and Miller were guests
last evening Of Mr.. Rafael Eastern agent
for the Armours, On Friday evening the
orthopedir section Of the Academy of
Medicine. whose chairman is Dr. G. X
operation in this country. will give re-
ception in honor of Or. Lorcnz at tho
academy.
This morning at II o'clock DR.. Lorenz
is TO have a clinic at the Polytechnic in East
Thirty-fourth street.