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Article
October 22, 1927

TREATMENT OF FIBROUS ANKYLOSIS OF KNEE AND ELBOW JOINTS

Author Affiliations

Salt Lake City

JAMA. 1927;89(17):1427. doi:10.1001/jama.1927.92690170001014
Abstract

In fractures, dislocations, trauma or infections adjacent to or involving the articulations of the knee or elbow, temporary or permanent loss of function of these joints occurs in a large percentage of cases. In more than 90 per cent the disability is due to limited flexion caused by fibrous formation affecting the joint proper or the tendons and ligaments concerned in the leverage as applied in normal motion of these articulations.

The appliances here shown are indicated in this class of cases. In a small percentage actual bony ankylosis occurs and must be dealt with as another surgical problem; therefore this class of cases will not be benefited by use of the appliances here presented.

The appliance for increasing the flexion of the elbow (as shown in the accompanying diagram) consists of: (1) a figure-of-eight shoulder strap and (2) a 1¼ inch wide elastic band passing from a point over

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