Amputation; Artificial limbs; Orthopedics; Surgery, Military
In figure 155 are seen the cavity in which the finger portion works
and the axis upon which movement takes place, also the four palmar
springs. In figure 157 the arrangement of the cords. In figure 158 the
attachment of the spring to the finger. This pattern, which we have
designed and which is not patented, seems to us to be simpler than
those in which the interphalangeal joints are also articulated and are
automatic. It gives a more accurate grip between the tips of the thumb
and index finger.]
_The Brunet Grip._--The Brunet grip is described here because of its
resemblance to the automatic thumb, both being worked on the same
principles.
[Illustration: FIGS. 158 and 159.]
[Illustration: FIG. 160.]
[Illustration: _Brunet's Grip._
Below the leather forearm piece, which laces up, the lateral steels
are continuous with each other in the form of an arch, to which the
grip is riveted.
The latter consists of a strong semicircular piece of metal facing
downwards, ending in a pair of wide and thick jaws, like those of a
locksmith's pliers. When the apparatus is at rest, these are kept in
contact by the pressure of two powerful fixed springs, attached to the
semicircle on the forearm above and to the jaws below. The external
and dorsal spring is attached to the tip of its jaw, the internal and
palmar (the side on which the manipulating cord is attached) to the
base of it.
The pliers are opened in the following way:--
Inside the semicircle to which the jaws are attached, lies a cylinder
with its ends cut obliquely; this rotates about a transverse axis,
and when at rest lies with its longer side upward. To the palmar edge
of the shorter side is attached a transverse eccentric, to which is
hooked a cord actuated as described in figure 146. When this is drawn
upward the cylinder rotates so that the wider side comes between
the jaws of the pliers and opens them; when the cord is relaxed the
springs turn the cylinder back again find the jaws close. Figures 158
and 159 show the appliance at rest and with the jaws open.
This appliance is patented and is made in one piece. We demonstrate in
figure 160 that it would be very easy to make the pliers detachable
from the forearm, with a screw connection, just as is done in the
various other appliances which will be described.]
The grip of the automatic thumb always lacks power, for two reasons.
There is no room in the thenar eminence to fit a powerful spring and
the grip has always a very narrow hold.
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