Un traité sur la chirurgie orthopédique . d'autres et l'adaptation de la même manière thestronger à l'affaiblissement des états. Cela a une influence importante pour le contrôle de la tendance et todeformity dans la modification ou même la dissimulation de la boiterie, un pointto Judson qui a maintes fois attiré l'attention. La maladie de la hanche bilatérale.-ISTinety-cinq cas de maladie de la hanche bilatérales ont été traités à l'hôpital pour Crippledduring est rompue et une période de dix ans. La maladie tuberculeuse DU RACCORD À JOINT DE LA HANCHE. 385 En règle générale, la deuxième hanche est perturbé quelque temps après le symp-toms de la maladie de la première ont été apparents, mais occasionallybo

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A treatise on orthopedic surgery . fellow and adapting in like manner thestronger to the weaker member. This has an important influence in checking the tendency todeformity and in modifying or even concealing the limp, a pointto which Judson has repeatedly called attention. Bilateral Hip Disease.—ISTinety-five cases of bilateral hip dis-ease were treated in the Hospital for Ruptured and Crippledduring a period of ten years. TUBERCULOUS DISEASE OF TEE HIP-JOINT. 385 As a rule, the second hip is affected some time after the symp-toms of disease of the first have been apparent, but occasionallyboth joints are involved simultaneously. In most instances thesymptoms are rather subacute, owing, very likely, to the factthat the activity of the patient is so restricted. Treatment, —The treatment is similar in principle to that ofthe unilateral form. The patient during the greater part of thecourse of the disease must be confined in the recumbent position, although not necessarily in bed. The double Thomas hip splint Fig. 279.. Left hip disease, shuwiiu swelling caused by abscess, also the absence offlexion deformity. or spica plaster support may be used. If the disease is acutetraction is added in the manner already described. If the dis-ease of one hip is acute and is attended by abscess formation, excision for the purpose of lessening the strain upon the patientmay be advisable. If motion is greatly restricted in both joints locomotion unlesscrutches are used is very difficult as motion at the knees cansupply only in small part the function of the hip-joints. Insuch instances excision of one hip with the aim of obtaining acertain amount of motion may be considered. Hip Disease Combined with Disease of Other Parts.—Themost common combination is with Potts disease. The twoprocesses may be distinct, but occasionally it would appear thatthe disease of the hip is caused by the infection of an abscess, which, coming from the spine, remains for a long time in con-tact with the

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