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Related post: ing in some of the London and provincial hospitals the splints of Hugh Owen Thomas in active use. I do not pro- pose this evening to say anything about his hip-splint, but I want to present his knee-splint, which I think serves the purpose for which it was devised. It practically is a peri- neal crutch with means for fixing the joint. If any gentle- man present this evening has any definite ideas about the value of extension of a joint, with preservation of motion at the articular surfaces, I shall be glad to discuss this ques- tion with such an one ; but if he only relies on what he has heard or what he thinks he has seen, I think it unwise to enter into such a discussion. My plea this evening shall be for absolute immobilization of a diseased joint. I find that surgeons generally are somewhat afraid to advocate this doctrine, however strong their faith may be. It is not fully settled in the minds of surgeons Buy Divalproex whether ankylosis is the result of immobilization or the result of intiammation. For my own part, I am willing to affirm, without fear of success- ful contradiction, that ankylosis depends not upon immo- bilization, however prolonged, but upon the character and * Read before the Xew York Clinical Society, October 28, 1887. the activity of tlio inflammutiun, and upon our failure to soeurt! iIiIh obj
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