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
Much, of course, depends upon the condition of the patient, in
circumstance and constitution. It many times occurs that while the edges
of the flaps have united, and cicatrization appears, ossification at the
sawn end of the bones has not taken place, consequently the necessary
pressure and tension on the surrounding integuments and other adjacent
parts in wearing a leg will unavoidably cause inconvenience, irritation
and pain. It is therefore our opinion, based upon experience and
observation, that in most cases an artificial leg should not be fitted
within _three months_ after amputation, and that if the edges of the
wound have thoroughly united at the end of that time it is _unnecessary
to wait longer_, except to harden and reduce the stump by bandaging, if
this has not previously been done. There are many good reasons why a leg
should be applied as soon as practicable after this time (provided that
the stump has healed), the chief one being that there is nothing that
will discipline and strengthen a stump and remaining joints as quickly
and as effectually as the use of a properly fitted artificial leg.
[Illustration]
_Material of Construction_
The materials used in the construction of artificial limbs are,
principally, tough English willow, leather, metal and rubber. The wood
parts, when worked to the desired shape, are covered with parchment or
rawhide and finished with a flesh-tinted waterproof enamel.
_Artificial Legs for Children_
When children have been deprived, by accident or disease, of one or
both lower limbs, artificial legs should be applied as soon as the
condition of the stump will safely permit. It is too generally presumed
that an outgrown limb is of no further use, and that the purchase of an
artificial leg before full growth is assured means a foolish expenditure.
This is wrong, at least so far as our work is concerned; there are
artificial legs made that it would be very expensive to lengthen or
change, but any leg that is made by us, or under our name or supervision,
we will agree to lengthen at any future time, as necessity may arise,
at a cost not to exceed five dollars, and in many cases not to exceed
three or four dollars. When the amputation is above the knee, it is often
necessary that the leg be lengthened both above and below the knee-joint.
This involves more labor and consequently greater expense, but in no case
will the charge exceed five dollars.
For a very young child we would make the artificial foot one or two sizes
larger than the natural one; in a year or so the natural foot will reach
the size of the artificial, and some months, perhaps years, will elapse
before the natural foot will be perceptibly larger than the artificial.
This method keeps the feet nearer the same size a longer time than would
be the case if the artificial foot were made the same size as the natural
foot in the first place. When it is necessary to increase the size of the
foot it can be easily and inexpensively done.
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