During the past twenty years treatment of joint tuberculosis at the New York Orthopedic Dispensary and Hospital has been for the most part conservative, the main object being to procure as near as possible immobilization of the diseased joints.
Weight bearing has been considered advantageous when it did not interfere with fixation, as in the knee and ankle joints, but of considerable disadvantage when it did interfere with fixation, as in the hip and spine.
Ankle joint disease has been treated by fixation with a stiff ankle brace having a molded foot piece which fits inside the shoe, plaster having been used as temporary dressing only. The use of crutches has been necessary at times when the disease has been too acute to permit of weight-bearing.
In the treatment of knee joint disease a stiff leg support has been used; this is fastened to the shoe and extends to the
HUMPHRIES RE, DURHAM HA. END-RESULTS OF THE TREATMENT OF TUBERCULOSIS OF THE SPINE, HIP, KNEE AND ANKLE JOINTS: FROM THE RECORDS OF THE NEW YORK ORTHOPEDIC DISPENSARY AND HOSPITAL. JAMA. 1917;LXVIII(4):282–285. doi:10.1001/jama.1917.04270010282013
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: