Amputation; Artificial limbs; Orthopedics; Surgery, Military
Judgment is difficult, and in order that the choice may be exercised
as reasonably as possible, the careful collaboration of the patient,
the doctor and the managers of the workshops is essential. We repeat
that this is one of the principal objects for which the centres of
re-education are useful. There are some efficient men, we know, who
without asking anything of anybody find quickly and unerringly the
exact work that suits them. There is no need of anxiety in such cases.
A certain metal worker from the invaded area suffering from
pseudarthrosis of the shoulder, whose wound we were treating, sent
for his wife, and they began to rear geese. We know two cases of
amputation of the right arm, an operative at an aeroplane works and
a worker in stucco, who during their stay at hospital and before
they had been supplied with artificial limbs, had taught themselves,
the one technical design the other ornamental design. Both of them,
as soon as they were discharged, have been taken on by their former
masters, who no doubt were fully conscious that they were thus
combining a good deed with good business. To come to a decision of any
value, however, cases of this sort must not be taken as a criterion,
for they are in fact exceptional. The majority of the men are in need
of guidance.
The procedure employed at the Belgian centre of re-education at
Port-Villerz consists in allowing the patient to frequent the
workshops at will for a few days, during which time he sees what is
going on and is not slow to make his choice, which it appears rarely
needs to be amended.
We have dealt chiefly with the conditions which are suitable for the
re-education of a man who has lost an upper limb, or, speaking more
generally, is disabled in one arm, for whom resumption of work in a
workshop will often be out of the question. The question is easier
of solution for the lower limb. Cases of amputation of the leg can
work standing, if supplied with an artificial limb, at practically
any trade. Cases of amputation of the thigh have numerous manual
occupations open to them in which they sit for at least part of
the time. It must be understood, however, that these professions
which require skill can, as a rule, only be learnt in well-equipped
workshops at the price of a fairly long apprenticeship. Two or three
years are necessary to make a good mechanic, a good watchmaker,
glass cutter, etc. This should not deter us in the case of fairly
young men. The difficulty is to organise special workshops, often with
a complicated equipment, where the maimed man can at least pick up
the rudiments of the work, for it is not to be thought of that he can
remain there during the whole time occupied in a complete training.
Public-domain text, read in full here on John Shaqi.
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