The Hawaiian star. [volume] (Honolulu [Oahu]) 1893-1912, 1902-12-10
LORENZ
SURGERY

American Medicine.
The sensationasm of lay press regard visit of
Professor Lorenz Of kind extremely dsagreeabe the pro-
esson but nevertheless Of value teaching the public that
only this defomy but many other of the deomes Of children
be successfully treated thereby leading them put
helpless children under the competent age when
satisfactory results can still be obtained The principle of
Lorenz method very simple consisting stretching the parts
about the hpOnt sufficiently that the head OF the femur
be brought into the rudimentary acetabuum When this is
comphed it is held in position by plasterotparis until the
weight the body walking constantly forcing the bone against
the cavity gradually nlarges until its normal function posi-
BILE The stretching of the muscles must be sufficient bring the
trochaner down the level of Neaons line lower This may
be accomplished by preliminary traction with heavy weights
by manual force the time of operation The child anestez
ed folded sheet passed between the legs and held above the
shoulder Of the side to be operated upon and the pev firmly
fixed by assistant Then by series of stretchng and relax
aions for which Loenz powerful frame with traction APP
paratu the resistance of the tissues entirely The
thigh then heXed about 90 relax the capsule grad
uay and orby abducted under traction to the limit OF
and rotated slightly inward that the head Of the bone points
toward the opening the capsule In this position while
ton on the thigh continued the head of the bone is lifted and
drawn the of the acetabulum 1t usually goes with
distinct and the leg position of eXiOn and abb
ducton The thigh again orciby rotated and extended its
full limit that the part of the capsule which drawn
tightly the depression be dsended and the capacity
the articulation increased When the manipulation
peed the leg put up plaster paris attitude of
IRENE abduction moderate Hon and inward rotation The ban
dage extends from the axla to the pevis and continued
spca down the knee The patient encouraged walk
possible the awkwrdness being somewhat essned by
thick cork sole the shoe. The first bandage left for
weeks or longer and reapped at intervals of month
With each change the bandage abduction be
somewhat essened until the end of eight months the
normal attitude OF the leg restored The operation of reduction
only small part of the the the head
OF the bone in the overcorreced position for long time until
aceabuum established being equally important for the
of the At the Thirteenth International
gress in Paris Loenz reported zoo operations of this kind with
only four DEATHS three of these from accidents the anesesa
In properly selected cases the operation free from danger and
the pain and discomfort which follow much less than
would expect from the extreme force which employed Other
advantages that because of its freedom from danger
be employed young children the diagnosis made
the consent OF much readily obtained than for the
cutting operation and successful there much less pain and
limitation OF motion than usual after cutting operation The
name OF Hoa OF Wurzburg nseparaby connected with the
cutting operation present practse HOfa reported
cases at the international Congress with deaths,
three times the number OF deaths larger
treated by the LOrenz method If the method does not
prove satisfactory the cutting operation rendered much
and is more easily performed from the fact that
drawn down into nearly the normal position Several
SeOns nave employed this similar method of
OF congenita dsocaon of the hip before Lorenz 1905
though of them had succeeded convincing the profession
OF the value OF the method until Lorenz by his persistent
stalking work proved its great value in these cases illustrating
that as much depends the hOoughness
OF the man upon the value of his method