Some years ago, when I began a study of the cases of hip-disease which were then, and had been treated at the Hospital for Ruptured and Crippled, I began, at the same time, to study the literature on this subject. I soon discovered that there existed a great diversity of opinion regarding the treatment of this condition.
It was admitted on all sides that we were dealing with a disease for which we had no specific remedy, and that our only resource was to treat the condition from a purely mechanical point of view. As usually stated, the idea was to maintain the affected limb at rest in order to allay the inflammatory reaction; it was. to be held in a manner which would permit of locomotion, so that the patient might obtain the benefit of fresh air and exercise; and finally the brace or apparatus to be used for
P. W. NATHAN. MECHANICS AND PATHOLOGY OF TUBERCULOUS HIP-DISEASE IN THEIR RELATION TO ITS DIAGNOSIS AND TREATMENT. JAMA. 1915;LXIV(21):1732–1734. doi:10.1001/jama.1915.02570470016004