Amputation; Artificial limbs; Orthopedics; Surgery, Military
_The old-fashioned peg leg_, called the "poor man's peg," consists
of a bucket continued into a rigid peg. If the support beneath the
ischium is well made according to the principles described above,
it is an excellent temporary limb.[3] This bucket of common wood,
which is not specially shaped to the stump, is very economical; its
imperfect fit is an advantage in that the stump, which is still
enlarged, cannot bear friction; as the stump assumes its true shape
and diminishes in size, the bucket is packed. We would add that every
patient, who is not rich enough to possess two complete artificial
limbs should have in reserve an emergency peg leg, for occasions when
the artificial limb requires repair.
[3] A number of temporary limbs have been designed, with buckets
of lattice work or of plaster. The old-fashioned wooden peg, which
is easily obtained, avoids all this additional work without any
disadvantage.
As a permanent apparatus, with accurately fitted bucket, the rigid
peg leg has two defects: it has not the appearance of a leg and
foot, and when the patient is sitting the rigid peg is unsightly and
inconvenient to him and to his neighbours. We have therefore designed
and completed a _jointed peg leg_, the principle of which is as
follows:
Below the thigh piece the peg is attached by a transverse joint,
this joint being locked in the extended position when the patient is
upright. The patient sets it free by manipulating the lock through the
trousers, when he sits down; when he gets up again the locking in the
extended position is automatic.
The fitting of this transverse joint may be carried out in two ways.
1. The upper end of the peg ends in a stirrup-shaped fork and the bolt
passes through the two ends of this fork and through the lower end of
the thigh piece (Figs. 31 to 33).
2. The lower extremity of the thigh piece has cut in it a central
mortise into which fits a vertical plate, prolonged upwards from the
middle of the leg piece. The bolt passes through this artificial
tibial spine and through the two sides of the mortise in the thigh
piece. If the hole in the tibial spine through which this bolt passes
is square the hinge works securely (Figs. 34 to 36).
In this form the axle turns with the leg, in the first form this is
also possible. But most often when the forked attachment is used it is
fixed to a leather thigh piece, and each end of the fork is jointed
independently to the corresponding end of the lateral steels of the
thigh piece, without any complete transverse bolt. It is then the fork
that revolves around these two joints.
[Illustration:
FIGS. 31 to 33.--Fixation of the stirrup of the leg (Fig. 31)
by a transverse bolt (Fig. 33), the aperture for which in the thigh
piece is seen in Fig. 32. Double lock (Fig. 32).]
[Illustration:
FIGS. 34 to 36.--Attachment by mortise and tenon, with a
bolt, square in section, passing through the knee. Single lock on the
outer side.]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account