The Salt Lake herald. [volume] (Salt Lake City [Utah]) 1870-1909, 1902-11-01

l IL HOSAAAAdclCI dl Ills case
was one OF double hip dis1ocation, from
which the child had been suffering
from birth The little one was able
TO walk. but not without assistance,
! and the parents had almost lost hope
/ that he would ever be relieved from
! his deformity. 1t was, of course, with
the greatest hope that they came 20
the city To present the case to DR..
! Lorenz, ard when Mr.. Walker learned
that the child would be operated upon
his Joy was almost too e Il for words.
After the operation had been per-
formed. he remarked.
1T is the greatest fortune that I
could ever expect to have, and comes
| once in a lifetime. L cannot tell DR..
Lorenz how much 1 appreciate his
kindness and generOuS-he arteGneSS
The second child was Muril Rausch.
the S-year-old daughter of Mr. and Mrs,
J. Rausch. who live at 637 West South
Temple street. The left hip in this
case was dislocated, and the parents
for a long time did not know what
was the matter with her.
Before 3 o'clock the operating room
was filed with doctors and nurses.
About thirty-ive physicians from this
city and outside places gathered
around the operating table, and a
large number of nurses from the hos
pital. and other trained nurses, filed
/ into the room. The time for the opera
ton came and passed, and an inquiry
brought forth the fact that DR.. Lorenz's
/ instruments, consisting OF pelvis rests
and like paraphernalia, had been de-
| layed, and had not arrived in the
city.
Improvised instruments.
It was thought for time that the
/ operations would have to be aban-
doned, and no end of disappointment
was felt. but DR.. Mueller took a plain
block of wood that had been picked
up from the yard, and, by wrapping
il in cotton batting and banda ges,
manufactured pelVis rest that was
/ used with success. Notwithstanding
this improvised instrument, the oper-
ations were performed in most re-
marka bly, short time The work Of re-
| ducing the first dislocation did not re-
quire more than two minutes time.
! although Of course much more time
was consumed in massaging the mus
cles and placing the limb in a plaster
of paris cast.
Before time for the operation DR..
Mueller examined the operating table
| and saw that everything was in readi-
ness, so that there might be no hitch
/ in the performance of the operations.
DIR. f. w. Whitney of the hospital
| was selected to administer the anaes-
thetic to the patients, and Drs- H n.
Mayo, A j, Hosmer, ]. S. Richards
and H. D. Niles attended DR.. Lorenz
and his assistant. Dr. Mueller
Just before time for the operation
little Edwin Walker, who was suffer-
ing from a double dislocation, was
taken into an adjoining room and DR..
/ Whitney administered the anaesthetic.
The child was scarcely under the in
fluence of the drug before the doctor
/ walked in with it in his Jrms and
placed it down upon the table Then
DR.. Lorenz, attired in a white apron
and with his sleeves rolled up to his
Mueller, attired in the same manner.
AS the celebrated physician entered
! the room all the doctors rose to their
| feet and greeted him with a round of
! applause. He was introduced to the
assemblage and said that he guessed
the doctors expected a speech from
lhim, but that he would have to de-
/ cline as he was not very good mas
( ter of the English language. He, how
ever, stated that he would explain
every point of the operation as be~.
he could, that the physicians might I'M
! derstand every move. He invited ques-
lions from the observers upon any
\ point that they desired explained, and
a number of question were asked dur
! ing the pLOSEGSs VI TIC OpGIdllD-A Int
child was by this time thoroughly IN
der the influence of the anaesthetic
and the operation commenced
Begins the Operation.
Taking hold of the left leg just below
the knee, with his powerful hand DR..
Lorenz doubled the leg up against the
body and pressed il downward toward
the table until it seemed as if the bones
must break.
you see, 1 bend the leg in this way
to stretch the posterior muscles" said
the doctor Then turning the child
upon its side and grasping the ankle
! in his hand, he pulled the leg back I'M
! til the heel almost touched the child's
back.
Il bend the leg this way" said the
doctor, ito stretch the anterior mus
cles."
Again turning the child upon his
back, DR.. Lorenz bent the leg into the
position of sitting posture and mas
/ saged the muscles around the hip joint
! with his strong hand, working them
loose and stretching them. Then grasp
ing the folded leg, which he held per-
pendicular to the reclining body, he
forced It out and straight down to the
/ surface of the table in a position at
right angles to the body.
This 1 do said he. Ito stretch and
tear the adducter longus (the big mus
Gle on the inside of the leg).'
After holding the leg in this position
for a moment or two and massa ging
the muscles with his hands, DIR. LOrenz
grasped the knee in his right hand and
the ankle in his left. pulling the leg
! out straight. This process he repeated
several times, explaining that it was
necessary to stretch the muscle along
it's whole length to produce satisfactory
| results.
Strikes the Muscles.
After this had been done the pelvis
rest, made from the block of wood, was
| placed under the left hip to raise it
! slightly and the leg was raised to a
] perpendicular pOsitiOn-folded, of
course. at the knee joint. Then DR..
/ LOrenZ, with his strong hand, struck
several sharp blows upon the adductor
longus muscle at the point where the
leg joins the body, at the same time
bending the leg at right angles to the
body, down toward the table. With
| firm and determined force he bent the
leg until the knee rested upon the sur
face of the table. Again he massaged
the muscles, then brought the leg to
a perpendicular position again.
! Now said he, you see grasp the
leg just below the knee in my left
hand / place the thumb of my right
hand against the femur (baH Of thigh
bone), and resting my hand upon the
/ body of the child, press the feTnur into
the socket where it should be-
- j. 4.