The sun. [volume] (New York [N.Y.]) 1833-1916, 1902-12-16
DR.. LORENZ SHOWS his SKILL.
FIRST PUBLIC OPERATIONS HERE
ny THE VIENNA 81 RECON.
Three Children Operated On. One. However
by His Assistant--\ thiid Relieved.
II Was said. In Three Minutes-New
Points In the " onderful Work lie Docs.

OF his profession in New York yesterday
afternoon. He was not slow to acknowl-
edge that the first professional men he
had found in this country who understood
and pract SD his method Of operating,
we're thos' he had met vest erday morning in
the Hospital for the Ruptured and Crippled,
wher" he performed his operation himself
in the afternoon. In fact he took pains
to state this before beginning to operate
A. his morning visit To the hospital DR..
Lorana selected three small patients for
Operation AT the clinic in the afternoon,
He chose them from a company % twenty
crippled children selected from f6 r larger
number Of applicants by the doct, rs who
for r"yoral wooks have been pr, paring
for his visit 20 this city
small operating theatre Of the Hos
ptsl for the Ruptured and Crippled was
damned with physicians. medical students
and nurses half an hour before DR.. Lorenz
was due there. Extra seats had been
erected and chairs were brought in after
that and placed upon the floor of the oper
atirg ring to accommodate the crowd who
wanted to SEQ the Vienna surgeon work.
Awong the better known professional
Irea present were DR.. Jacob. KiuriCut,
Br"ant, Weir, Austin Flint, Jr.. Edward
WsIllc" Lee, Reginald Sayrc, Duncan
Bulkl,y. George Il Elliot, Emmett Holt,
Virgil GIhrcy and the superiutendcuts of
several cf tn" city hospitals
81 esteem il an honor" laid Dr.. Iorcnz,
when he entered the theatr" ~ 10 minutes
Iast O'Clock, TO appear befpr you here
in response To the invitation Of the surgeons
in, hicf of TIL. hospital, to demonstrate
enc of my bloodless methods. 1 wish 10
say at the very beginning that | can show
nothing new to those connected with this
hospital.
Their work is as well done as il can be
] felt happy this morning when | found
my methods understood and successfully
carried out here, the first place where /
have seen this in America. New York is
the mother city of orthopedc surgery"
DR.. Loreuz had been reading an intro
ductory from a paper. the main part of
which has become familiar at his American
clinics II tells those points in his opera
ton in which surgeons and students are
especially interested. After something
more of this paper. the first subject for his
treatment was borne in and laid out on the
operating table. She was Mary Sing Teton,
eyears old. of io7 East Eighty-sixth street.
Dropping his typewriter paper, Dr.
I,orenz seized the chd's left leg, out of
place through congenital dislocation of the
hip joint, while he swung it around as if
10 see how il lay or. somewhat in the
spirit Of baseball or cricket player trying
10 get the feel of his bat he continued to
talk of the points and stages Of his operation.
He spoke Of the first step in the operation.
the placing Of the head of the femur oppo-
site the acetabulum, or socket, in which the
femur normally should work. and said that
the possibility of this reduction of a con-
genital deformity was limited by the age
Of the patient. In the very young it was
easy 10 pull down the head of the femur;
not 50 in older patients.
Those he had sele ted for operation
yesterday were aged 9, ! and years. All
we're girls. who form the greater number
Of children afflicted with congenital dislo-
cation Of the hip joint, Children Of greater
age had to be subject, ed. the doctor said,
to course of preparatory treatment.
He placed the favorable age limit for opera
tive cases now AT a years for bilateral dis
location, and at years for uniateral dis
location, that is for the dislocation Of both
hips or one hip, respectively. The oldest
subject on whom he had operated was a
patient aged IS years, unique exception
lie sdlu, 10 lIlN Stiiti al ui' Ioi OPlid'ilR'
The doctor then began 10 move and work
the little leg Of his etheEized patient much
a. druggist moves pestle in "A mortar,
and seemingly with rs little feeling for the
leg His assist ants. administering ether,
occasionally pulled down one eyelid Of the
chill to see the effect OF the Al &c uhetic
and then placed the cone Of ether over her
nostrils again.
The operators manipulations became
more vigorous and intense. The gigantic
f~.f Gall H.. 81.
broad shouldered, took the small limb in
his hand and pushed it hither and thither
as though it were a brush handle in viscid
paste, Then he pulled IT and pushed it
and moved II in four directions. inward and
outward and upward and downward.
towing with IL as comber and its back
wash does with bit Of drftwood, and just
~ resistlessy.
The only sound in the theatre. aside from
the operators voice and n murrnur of
spectators here and there. was the chids
Wheeling respiration, THE subcutaneous
severing OF muscles, by overstretching
them" was going on, the doctor explained.
The inquisition," said a bystander, in
the profession. with it's fortunes, was
little compared with that, now. wasn't III"
After stretching the abductor muscles.
tho doctor proceeded to at reich the posterior
muscles Of the leg unit he had the pat tents
heel opposite her head; then he stretched
the anterior muscles correspondingly, and
then began at traction TO sec il the head
Of the femur could yet be pulled down TO a
point opposite the acetabulum or not
THAT is the case" said hc, Il pull the
head down opposite the acetabulum, and
We perceive the little
Dr Iorenz paused in his speech. made a
devterous movement with his wrist the
theatre was silent AZ church and almost
- soon a. he would have spoken the next
word there was n small click" a. the pa
TENTS femir head slid into the socket
where nature had intended il to be
-Soe?" said the doctor. But he had
scarcely time to say the word, for those In
tho front rows Of his audience had heard
the click, and there was an immediate
round Of applause.
But the work was not vet done. There
was next an extreme extension Of the leg
for the purpose 81 more stretching. and
then
"You perceive rigid retraction Of tho
knee Joint" said the doctor. a. h" bent the
leg outward at the hip Joint ard tho knee
heyed instantly. we try to overcome
this contraction while the child is still
under the influence
Then as he pushed the thigh outward
and downward until IL was practically
parallel with the surface Of the table and
ri right angles to i,s longitudinal edge.
he observed: "You SOC now prominence
where formerly adeep depression appeared"
v,niptin1 tho II hpr a hn