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The many and varied appliances used to fasten a pulley at the foot of a bed in order that Buck's extension may be applied are unsightly. Most of them depend for fixation to the bed on various clamps, or even bandages and adhesive tape.
In the hope of fashioning a better type of appliance, I consulted Mr. L. W. Roessler, bracemaker at the Mayo Clinic, with regard to a contrivance by which a pulley could be placed at the foot of the bed without the use of clamps, specifying that the pulley should be from 6 to 8 inches (15 to 20 cm.) below or distal to the foot of the bed in orderthat the traction would not so easily become ineffective if the patient's foot should come against the pulley. My ideas of such a contrivance were completely outclassed by the apparatus that was made by
Jones HT. SIMPLIFIED APPARATUS FOR BUCK'S EXTENSION. JAMA. 1929;92(23):1928. doi:10.1001/jama.1929.92700490002010a
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