The Making of a Man: Being a Description of Artificial Limbs and How They May Be Adopted by Those Who Have Suffered Loss of Their Natural LimbsGeorge R. Fuller Co. (Rochester, N.Y.)
Science
The Making of a Man: Being a Description of Artificial Limbs and How They May Be Adopted by Those Who Have Suffered Loss of Their Natural Limbs
In preparation for the application of an artificial leg, and as soon as
it is healed sufficiently to permit it without pain or irritation, the
stump should be kept tightly bandaged from the end up to the knee, if
the amputation be below, or up to the body if the amputation be above
the knee. The bandaging will diminish and solidify the stump, leaving
it in a much more desirable condition for fitting and rendering the
successful use of a leg more a matter of certainty. If neglected, the
chances are that a soft, flabby stump will be the result, which will
rapidly reduce after the patient begins the use of a leg, but a refitting
or an uncomfortable amount of filling up in the socket to compensate for
the shrinkage of the stump will be necessary in order to walk with the
least degree of ease or satisfaction. The remaining joints, particularly
the knee joint, should be kept in motion as much as can be conveniently,
every day; this will prevent their becoming anchylosed (stiff and
inflexible). Should this warning come too late, and the joint is already
anchylosed, it should be gently and gradually exercised, and oily,
relaxing applications applied until straightened and flexible. A free
daily use of the cold water bath and brisk rubbing will prove beneficial.
An application of a solution of tannin and alcohol will toughen the skin,
and in many cases it would be an excellent thing to continue the use of
this solution after an artificial leg has been applied.
_How Soon After an Amputation_
There is a diversity of opinion as to how early a substitute may be
applied. Many surgeons strongly urge that an artificial leg cannot be
safely fitted for several months after cicatrization occurs, while, on
the other hand, some manufacturers of artificial limbs claim that a leg
can be satisfactorily fitted just as soon as the stump has healed, no
matter if it be but five or six weeks after the amputation.
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