C.\T.\ Ixk'il E 
OF 
dd anufactured and Sold ov 
C'-.f. *IEMAO & CO.. 
F. fl. 
IFF WFlj\ !.' 'FFjiF FF, 
No. 67 CHATHAM-STREET, 
NEW-YORK. CATALOGUE 
OF 
Svigieal Instaimente 
MANUFACTURED AND SOLD BY 
GEO. TIEMANN & CO. 
F. A. Stoillmann. Edward Pfarre. 
No. 67 Chatham Street. 
NEW YORK. 
3kw : 
CABLE A GRENER, PRINTERS, 
23 Union Square. 
1874. Entered according to Act of Congress in the year 1874, by 
GEO. TIE MANN & CO., 
In the Office of the Librarian of Congress at Washington. See CP age 83 for 
INDEX AND PRICE LIST TO PART IV 
OF 
OF 
SURGICAL INSTRUMENTS, 
APPARATUS FOR 
J}etaaW and fractures, frusscs, §pine etc. 
MANUFACTURED AND SOLD BY 
GEO. TIEMANN & CO. 
.Vo. 67 Chatham Street. 
BRANCH STORE, 107 East 28tli Street, New York. 
FACTORY: 81 and 83 Boerum Street, Brooklyn, E. D., N. Y. IV 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
A NEW ASPIRATOR BY GEO. TIEMANN & CO. 
It is reliable in action, of simple construction, and its low price places 
it within the reach of every physician. Send for descriptive circular. 
G.TIEMANN & CO 
We have constantly on hand : Surgical Instruments of all descriptions, 
Laryngoscopes, Ophthalmoscopes, Endoscopes, Hypodermic Syringes, 
Fever Thermometers, Apparatus for Urine Test, Local Anaesthesia, 
Galvanic Batteries (Faradaic and Constant Current), Test Glasses (Eye), 
Medicine Chests, Saddle-Bags, Microscopic Instruments, Embalming 
Syringes, Metal and Hard Rubber Syringes, etc. 
Contents of Catalogue of gurgical instruments. 
Part I-Amputating, Trepanning, Minor, Capital and General Oper- 
ating Instruments, Pocket Cases, etc. 
Part II-Eye, Ear, Mouth, Laryngeal, Tracheotomy Instruments, etc. 
Part III-Gynaecological Instruments, and Instruments for the Male 
Urethra, Bladder and Genitals. 
Part IV-Orthopaedic Appliances, Fracture Apparatus, etc. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St , N. Y. 
V 
G-EO. TIEMANN & CO.'S MODIFIED PORTABLE 
POCKET ILLUMINATOR. 
With Bull's Eye Condenser, and Slide for adjusting focal distances. 
Price, $4.50. 
G-EO. TIEMANN & CO.'S IMPROVED WIRE 
ARM-SLING-. 
With Sliding Extension Splint for the hand, to facilitate passive motion 
of the wrist without removing the support. 
Price, $4.50. VI 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
A NEW TOURNIQUET, BY PROF. F. ESMARCH, KIEL. 
Extracted from Sammhing KliniseJir-r Vortrcnje, No. 58, Leipzig, 1873. 
* * * * "I shall perform an operation (necrotomy, both 
legs) which would cause a much more profuse hemorrhage than that of 
yesterday, did I not adopt a method which will enable us to completely 
control the bleeding. 
"While the anaesthetic is being administered, we envelop the lower 
portion of the limb in oil silk, to prevent soiling the bandage ; then we 
bandage the legs tightly from the toes to above the knees with this elastic 
rubber bandage (A), which, by gradual compression, forces the blood out 
of the vessels of the limb. Immediately above the knee, where the band- 
age terminates, we wind the rubber cord or tubing (2?) four or five times 
around the thigh, and join the one extremity by means of the attached 
hook to the chain at the other end. The rubber tubing or cord compresses 
all the soft parts, including the arteries, in such a perfect manner that not 
a drop of blood can enter the bandaged portion of the limb. 
"This tourniquet possesses the advantage over all others, viz.: it can be 
adjusted to any portion of the limb, and the location of the principal 
arteries need not be considered. 
" We now remove the elastic bandaging and the oil silk, and you will 
notice that both legs, below the tourniquet, present the appearance of the 
limbs of a corpse, the pallor of the same forming a remarkable contrast to 
the rosy hue of the skin above. You will also notice that we will operate 
exactly as though on a cadaver. * * * * 
"After the operation, the rubber cord is slowly removed, the circulation 
restored, and those arteries which have previously remained unnoticed, 
tied. * * * The slumbering patient presents the same appearance 
as before the operation, his pulse is full and strong, and convalescence will 
no doubt follow much more rapidly and surely than if we had performed 
the operation in the customary manner. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
VII 
"The tourniquet can be used with more or less complete success in 
nearly all operations on the extremities. In extirpation of tumors, in 
the removal of scrofulous sores or caries, and resections of small bones 
or joints, you can proceed in the manner I have just demonstrated, viz.: 
you need not loosen the tourniquet until the wound has been dressed." 
Price, $3.75. 
G-EO. TIEMANN & CO.'S IMPROVED STEAM 
ATOMIZER 
Is simpler in construction 
and more easily managed 
than any other apparatus1 
of this kind now in use. 
Directions for Use. 
Remove the safety-valve 
(A), and after half tilling 
the boiler with water, re- 
place it. Put the medicine 
into the cup (/?). Insert the 
spray-tube ((7) carefully but 
not too far into its socket 
(D), and screw it tight. 
Then prepare the lamp (JE) with alcohol, and light it. In about three or 
five minutes, the steam will issue from the boiler orifice of the spray-tube, 
and, in passing over the opening of the other inserted into the medicine- 
cup, will cause the medicine to rise and form into spray, forcing it through 
the face-shield into the mouth. 
Its advantages ovet others are : 
1. A wooden handle by means of which the apparatus can be held 
while in operation. This addition does not interfere with packing, as by 
folding the handle close to the stand the Atomizer will take up no more 
room than the ordinary ones. 
2. A combined face-shield and drip-cup (<7). Fluids which are not 
forced through the funnel will collect in the attached drip-cup, and can 
from there be returned into the medicine-cup by pushing the face-shield 
toward the boiler, and tilting it toward one side. 
3. The spray can be directed upward or downward by altering the posi- 
tion of the attachment (2Z) holding the face-shield. VIII 
GEO. TIEMANN <t CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edward Pfarre. 
HEYWOOD SMITH'S SCISSORS. 
With moveable blades. Improved by Geo. Tiemann & Co. 
ELLINOER'S UTERINE DILATOR. B ttEMOH 4 W OH OHMU 
F. A. Stohlmann. Edward Pfarre. 
6'7 Chatham Street, 
Branch Store, 107 East 28th Street, New York. 
Mum, 
Aooaratus for the Treatment of Distortions and Debilities of the Trunk, 
SHOULDER, BRACES. 
For Unconfirmed Curvatures or "Round Shoulders" in 
Children and Youths. 
This condition, brought on by a habit of stooping, or by constant bending forward of the 
head and neck over the book or desk, is amendable by mechanical treat- 
ment. The most approved Instruments for these cases are 
represented by Figs, i, 2 and 3. 2 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Figs. 1, 2. ELASTIC SHOULDER BRACES. 
For ladies and gentlemen, arranged as Suspenders or Skirt Supporters. 
Fig. 3. STEEL BACK SHOULDER BRACE. 
For more advanced cases of round shoulders. 
Directions to Measure for Shoulder Braces : 
1. Patient's name (sex). 
2. Elastic or steel-back brace. 
3. Crest of ilium to axilla, - - inches. 
4. Circumference of pelvis, - - - " 
5. Circumference of chest 
under Axilla, ------ 
Fig. 3. 
Apparaiup for jpinal |iptortionp. 
To overcome the objections to the forms of instruments formerly 
employed in Europe for the correction of spinal curvature, which instru- 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
3 
ments were heavy, unyielding, limiting muscular motion, and in many 
cases entirely suspending it, subjecting the patient to the greatest incon- 
venience without compensating results being obtained-we, some years 
ago, constructed braces, which possess all the requirements of mechanical 
aids in the successful treatment of spinal distortions, however induced. 
They are light, airy, easily adjusted, and afford the patient compara- 
tively freedom of motion along with adequate support. 
(Extracted from the " Medical Record," New York, Aug. 1, 1868.) 
Fig. 4. TIEMANN & CO.'S NEW BRACE FOR POTT'S 
CURVATURE OF THE SPINE. 
"It is intended to afford an entirely elastic con- 
tinuous and gentle pressure to the parts to which 
it is applied, giving to the patient, along with 
adequate support, an easy and comfortable feeling. 
It is made of light tempered springs, and softly 
padded wherever it comes in contact with the 
body. 
' ' The belt below passes round the pelvis, and 
the principal weight is thrown upon the gluteal 
region. The front portion is broad, so as to com- 
press the protruding abdomen. Two upwright 
parallel bars pass on each side of the posterior 
elevation, having a portion of silk elastic rubber 
between them, which gives a constant pressure 
upon the protuberance. If the latter is inflamed, 
a portion cut out of the elastic material prevents 
direct pressure upon the extremity of the bone. 
Upon these side bars are attached two elliptic and 
padded springs, yielding to every pressure, and 
adapting themselves to the sides of the spinal 
column and keeping the body in an erect position. 
These are removed or applied by a very simple 
process. The two padded crutches are elastic, and 
elevate the body by pressing mostly under the 
margin of the scapula, thus obviating any tenden- 
cy to pressure upon the axillary veins. They are 
constructed in such a manner that the equilibrium 
of the body can be restored in case one shoulder is depressed." 
Fig. 5. "The elastic belt shown in the cut is for the purpose of giving 
Fig. 4. 
Fig 5. 4 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
additional pressure, if needed, but mainly to compress the sternum, which 
generally protrudes. It is also designed to be worn at night, when the 
apparatus itself is not applied." 
We pay special attention to the correct and careful fitting of these Braces. 
Surgeons residing at a distance, whose patients cannot visit us for 
adjustment, will have their orders promptly attended to, by sending us the 
following particulars: 
MEASUREMENT FOR A BRACE FOR POSTERIOR CURVATURE. 
(pott's disease.) 
Fig. 6. 
1. Patient's name (or sex). 
2. " age. 
3. " weight (estimated). INCHES. 
4. Distance from sacro lumbar articula- 
tion to vertebra prominens, - - (C to Z>) 
5. Distance from sacro lumbar articula- 
tion to 1st vertebra involved, - - (C to G) 
6. Distance from sacro lumbar articula- 
tion to last vertebra involved, - (O' to D) 
7. Distance from crest of ilium to axilla 
right side, - - - - - (A to 
Do. crest of ilium to axilla left side, " 
8. Distance from the centre of one 
scapula to the center of the other, (770) F} 
9. Horizontal (transverse) diameter of the 
protuberance, - 
10. Circumference of chest under axilla, (70) 
11. Circumference of pelvis 1 inch below 
the iliac crests, - - - - 
Fig. 7. 
Fig. 7. TIEMANN & CO.'S BRACE 
FOR LATERAL CURVATURE. 
(scoliosis.) 
To the pelvic belt are attached laterally two 
elastic crutches, as in the brace for Pott's disease ; 
to relieve the spine of the weight of the trunk 
posteriorly, a single, strong, upright bar, holding 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
5 
a couple of adjustible pads for the scapulae, and just below, a leather 
band, of proper width (attached by a number of small brass buttons), 
terminating in strong elastic India-rubber webbings. This band is passed 
around the protuberance obliquely, and buckled to the pelvic belt in front, 
an inch or two beyond the linea alba, and will be found to exercise a gen- 
tle, but continuous elastic pressure, at the same time rotating the ribs 
around their vertebral axes, and thus unfolding the helical curve. 
We pay special attention to the correct and careful fitting of these braces. 
Surgeons residing at a distance, whose patients cannot visit us for 
adjustment, will have their orders promptly attended to, by sending us the 
following particulars : 
MEASUREMENT FOR A BRACE FOR LATERAL CURVATURE. 
(scoliosis.) 
Is the convexity of the curve to the right or left side ? In the figure 
of the accompanying skeleton it is to the right. 
1. Patient's name (or sex). 
2. " age. 
3. " weight (estimated). inches. 
4. Distance from sacro lumbar articula- 
tion to vertebra prominens, - -(CtoD) 
5. Distance from sacro lumbar articula- 
tion to 1st vertebra involved, - - (C to G) 
6. Distance from sacro lumbar articula- 
tion to last vertebra involved, - (G to D) 
7. Distance from crest of ilium to axilla, 
right side, - - - - - (A to II) 
Do. crest of ilium to axilla left side, - " 
8. Distance from the center of one 
scapula to the center of the other, - (E to E) 
9. Horizontal (transverse) diameter of 
the protuberance, - - 
10. Circumference of chest under axilla, (II) 
11. Circumference of pelvis 1 inch below 
the iliac crests, - 
Fig. 8. 6 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 9. SPINE BRACE BY Dr. CHAS. WASHBURN. 
i ' Some two years ago it became necessary for me to have constructed a 
brace for the treatment of angular curvature of the spine, a considerable 
number of such cases having been quite suddenly 
thrown upon my hands by the resignation of a con- 
sulting orthopedist to St. Luke's Hospital, New 
York. It was my desire to obtain an apparatus, 
which, while fulfilling the indications perfectly, 
should be simple in construction and not expensive." 
"In the accompanying figure uais a steel band which 
passes half way around the pelvis, just above the 
trochanters, bb are two flat bars of steel, parallel to 
each other, and curved upon their flattened sides to 
the form of the spine to which the apparatus is fitted. 
These bars are curved a little less than the spine, so 
that when secured in position, their elasticity will 
constantly operate to rectify the spinal curve. The 
cross bar at the upper ends of the parallel ones is 
firmly riveted to them, and is to cross the back just 
above the spines of the scapulae. At the ends of this 
bar are affixed buckles to receive the shoulder straps ; 
cc are two movable pads which slide upon the bars 
to which they are attached-these are best stuffed 
with chopped cork. These compresses are to be 
brought one upon each side of the projecting knuckle of spine and secured 
firmly by means of the screws provided for that purpose. Buckles are 
attached to various parts of the brace, by means of which it is secured to 
the front part of the apparatus, which consists as shown of a piece of 
twilled muslin, or other strong material, .which covers the chest and 
abdomen and is provided with straps. Such parts as are in contact with 
the body are carefully padded." 
"Success with this apparatus depends entirely upon the faithfulness 
with which it is kept adjusted to the spine of the patient. It is only neces- 
sary that a gentle pressure should be maintained if it is constant. As the 
spine approaches its normal shape the curve of the brace will require to be 
altered from time to time. The steel has a soft temper, so that it will take 
the form into which it is bent when considerable power is applied, but will 
be sufficiently elastic for the purposes of this apparatus. With children's 
braces the necessary bending is readily accomplished by hand." 
Surgeons residing at a distance, whose patients cannot visit us for 
adjustment, will have their orders promptly attended to, by sending us the 
following particulars: 
Fig. 9. 07 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
7 
MEASUREMENT FOR WASHBURN'S BRACE FOR POSTERIOR 
CURVATURE OF THE SPINE. 
(pott's disease). 
1. Patient's name (or sex). 
2. " age. 
3. " weight (estimated). 
INCHES. 
4. Distance from sacro lumbar articula- 
tion to vertebra prominens, - - (C to D) 
5. Distance from sacro lumbar articula- 
tion to 1st vertebra involved, - - (C to G} 
6. Distance from sacro lumbar articula- 
tion to last vertebra involved, - (Cto D) 
7. Distance from crest of ilium to axilla 
right side, - - - - - (A to H) 
Do. crest of ilium to axilla left side, - " 
8. Distance from the center of one 
scapula to the center of the others, - (Eto F~) 
9. Horizontal (transverse) diameter of 
the protuberance, - - - - 
10. Circumference of chest under axilla, (27) 
11. Circumference of pelvis 1 inch below 
the iliac crests, - 
Fig. 10. 
Fig. 11. Dr. THOMAS M. MARKOE'S 
BRACE FOR TORTICOLLIS. 
Fig. 11. 
This apparatus is constructed in the following man- 
ner : An upright steel bar is fastened to a pelvic band, 
and carried along the spine to a little below the level of 
the shoulders, secured in position by straps passing 
over the shoulders under the axillae, and fastened to 
buttons or pads situated over the scapulae. 
A steel lever for extension of the neck, is provided 
inferiorly with a slot, to admit of adjustment, and con- 
nected with the upright bar by means of two screws ; 
the top of this lever is made to form a powerful clamp, 
for the purpose of holding the head-band, and of 
securing the head in position. The head-band is 
formed of a steel spring carried half around the back 
of the head, softly padded, and the covering extended 8 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
to the front and buckled there. A strap may also be passed across the 
top of the head from ear to ear. 
A bandage, the size and shape of the patient's chin, is buttoned to this 
head-band laterally with four straps. Fastened to the steel spring of the 
head-band is a steel stem about one inch or less in length, terminating in a 
ball; this is held within the grasp of the clamp, thus forming a universal 
joint, moving freely in all directions. By turning a thumb-screw with 
which the clamp is provided, the head of the patient may be fixed in any 
position by the arrest in the movement of the joint. 
MEASUREMENT FOR MARKOE'S BRACE FOR TORTICOLLIS. 
Fig. 12. 
1. Patient's name (or sex). 
2. " age. 
3. ' ' weight. 
INCHES. 
4. Distance from sacro lumbar articula- 
ton to vertebra prominens, - - " 
5. Distance from sacro lumbar articula- 
tion to base of skull, - - - " 
6. Circumference of pelvis 1 inch below 
iliac crest, - - - - - " 
7. Circumference of chest under axilla, - " 
8. Circumference of the head, " 
Fig. 13. 
Fig. 13. TIEMANN & CO.'S WRY- 
NECK BRACE. 
Tins is a simple collar, made of pliable iron 
wire and covered with silk or buckskin. It is 
placed on one shoulder and held in position by 
axillary straps. The iron admits of adjust- 
ment. It is a good instrument for slight cases 
of wry-neck when the head leans to one side, 
by reason of contractions, lesions of muscles, 
or burns, but when accompanied by tortuosity 
of the vertebra, it is not as efficient as Markoe's 
brace. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
9 
MEASUREMENT FOR TIEMANN & CO.'S WRY NECK BRACE. 
1. Patient's name (or sex). 
2. ' ' age. 
3. Head leans to right or left side ? inches. 
4. Circumference of the neck, - 
5. Length of the neck at side from clavicle to mastoid 
process, -------- 
6. Circumference of chest under axillae, 
Fig. 14. DR. DAVIS'S APPARATUS FOR CARIES OF 
THE SPINE. 
Fig. 14. 
(Extracted from Hamilton's Principles and Practice of Surgery.) 
"The principles which ought to govern the con- 
struction and application of mechanical supports, 
is cases of caries of the spine, are the greatest 
degree of lightness, compatible with the requisite 
firmness, accurate adaptation ; pressure in oppos- 
ing directions upon the spinal column, sufficient to 
insure support and steadiness, and to transfer, in 
some degree, the weight of the spinal column from 
the affected vertebrae to their corresponding 
oblique processes, while at the same time these 
vertebrae shall not separate from each other in a 
manner to defeat the end desired, namely, their 
final union and consolidation by callus ; the 
pressure being so applied on either side of the 
spinous processes, and not upon the processes 
themselves, so that it shall cause the least pain 
and not endanger ulceration or excoriation, giving 
support to the tumid or pendulous belly ; inter- 
fering in no way with the free motions of the arms 
or legs. These indications we find more or less 
completely fulfilled in the apparatus of Davis, 
Bigg, or Taylor." 
Fig. 15. 
Fig. 15. 
DR. TAYLOR'S APPARATUS FOR 
CARIES OF THE SPINE. 10 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarrf.. 
MEASUREMENT FOR DR. DAVIS'S OR FOR DR. TAYLOR'S 
APPARATUS FOR CARIES OF THE SPINE. 
Required the same as directed for Dr. Washburn s Brace. 
(See page 7.) 
Abdominal jupporterp and jruppep. 
Fig. 17. 
Fig. 17. UMBILICAL BANDAGES. 
These Bandages are made of linen, satin-jean, or 
canvas, with hard pads of wood, cork, lead, etc., 
and with soft pads made of sponge, horse-hair, or of 
india-rubber, inflated with air. 
Fig. 18. CHASE'S UMBILICAL TRUSS. 
Fig. 18. 
Has a hard wooden pad, 
and is a comfortable 
appliance for corpulent 
persons, having the ad- 
vantage of being light and 
cool, making it comfort- 
able for summer wear, 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
11 
Fig. 19. BOW SPRING UMBILICAL TRUSS. 
The spring of this 
Truss is made in form of 
a bow, the convex side of 
which, supporting the 
pad, is applied to the 
rupture. It is forced to 
conform to the shape of 
the body by drawing on 
the straps on either side, 
which are then buckled just tight enough to be comfortable. They are 
made with soft or hard pads. 
Fig. 20. CHILDREN'S BOW SPRING UMBILICAL TRUSS. 
Fig. 21. CHILDREN'S UMBILICAL TRUSS 
Crescent Spring, and with Soft or Hard Pads. 
The Order for an Umbilical Bandage or Truss should be accom- 
panied by the following 
Measurements : 
1. Diameter of the protuberance. 
2. Circumference of the body at the Umbilicus. 
Fig. 22. BOW TRUSS, SINGLE, WOODEN PAD. 
Trusses will be carefully fitted. A lady, to wait on lady customers, in attendance at the Branch 
Store, 107 East 28th Street. 12 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 23. RATCHET TRUSS, Hard on Soft Pad. 
Fig. 24. BEST FRENCH TRUSS, Single, Soft Pad. 
Fig. 25. BEST FRENCH TRUSS, Double, Soft Pad. 
Measure around the pelvis, and describe the rupture. 
Trusses carefully fitted. A lady will wait ou lady customers, at the Branch Store, 127 East 28th Street. 67 CHATHAM STREET, NEW YORK. 
Bbanch Stobe, 107 East 28th St., N. Y. 
13 
Fig. 26. CHASE'S TRUSS, Cedar Pad. 
Fig. 27. FRENCH ADJUSTABLE TRUSS, Soft Pad. 
Fig. 28. GERMAN TRUSS, Soft Pad. 
Measure around the pelvis, and describe the rupture. 
Trusses carefully fitted. A lady will wait on lady customers at the Branch Store, 107 East 2bth Street. 14 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 29. BEST COMMON DOUBLE TRUSS, Soft Pads. 
Fig. 30. HULL'S TRUSS, Soft Pad. 
Fig. 31. SELF ADJUSTING, OR BALL AND SOCKET TRUSS. 
Single, Soft Pad. 
Fig. 32. SELF ADJUSTING, OR BALL AND SOCKET TRUSS. 
Double, Soft Pad. 
Trusses carefully fitted. A lady will wait on lady customers, at the Branch Store, 107 East 28th Street. 07 CHATHAM STREET, NEW YORK. 
15 
Branch Store, 
107 East 28th St., N. Y. 
Fig. 33. FRENCH ADJUSTABLE TRUSS, Double, Soft Pads. 
Fig. 34. TIEMANN & CO.'S FINGER-PAI) TRUSS. 
Fig. 35. DR. FOLSOM'S NEW TRUSS 
(Extract from Medical Record, New York.) 
" This instrument consists of a back-plate of metal, which rests upon the 
Hat surface at the upper part of the sacrum. To this are hinged two arms of 
steel, which curve around the pelvis just below the crest of the ilium, to avoid 
the action of the glutei muscles, but fitting very accurately to the shape 
of the body. To their extremities are attached the pads, upon which they 
exert such moderate pressure as will ensure safety in each particular case, 
without aggravating the condition intended to be relieved. The necessary 
adjustment of curve is, therefore, given in each case, by the hand of the sur- 
geon. before tempering and finishing the instrument. In no other way can 
the same degree of firmness and efficiency be obtained. The two pads are 
connected by a single strap, buttoning on studs at their upper part. A 
double truss is used in every case of hernia. 
"The Truss is plated with nickel, and instead of being covered with any 
absorptive material, is worn over a silk handkerchief or flannel bandage." 
Trusses carefully fitted. A lady will wait on lady customers at the Branch Store, 107 East 28th Street. 16 
67 CHATHAM STREET, NEW YORK. 
F. A. Stohlmann. Edwabd Pfarre. 
Fjg. 30. DR. SCIIUPPERT'S GALVANIC TRUSS. 
Fig. 37. BOW SPRING ABDOMINAL SUPPORTER. 
Fig. 38. FITCH'S ABDOMINAL SUPPORTER. 
Supporters and Trusses carefully fitted. A lady will wait on lady customers at the Branch Store 
107 East 28th Street. 67 CHATHAM STREET, NEW YORK. 
17 
Branch Store, 
107 East 28th St., N. Y. 
Fig. 39. EUGENE ABDOMINAL SUPPORTER. 
Fig. 40. LONDON ABDOMINAL SUPPORTER. 
Fig. 41. ABDOMINAL BANDAGE. 
Fig. 42. NOEGGERATH'S ABDOMINAL SUPPORTER. 
Supporters and Trusses carefully fitted. A lady will wait on lady customers at the Branch Store, 
107 East 28th Street. 18 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edward Pfarre. 
Fig. 43. THOMAS'S ABDOMINAL SUPPORTER. 
Fig. 44. SILK ELASTIC ABDOMINAL BELT. 
We have on hand cotton elastic abdominal belts, canvas riding belts, 
satin-jean abdominal belts, etc.; also Branns', Phelps', Dugas', Scan- 
zoni's, the Boston, and a variety of other supporters, and make to order 
any other pattern desired. 
Measurement for Supporters. 
1. Circumference at the iliac crests, - - inches. 
Supporters and Trusses carefully fitted. A lady will wait on lady customers at the Branch Stere, 
107 East 28th Street. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
19 
Fig. 45. PROLAPSUS ANI AND PILE SUPPORTER. 
Fig. 46. MILTANO'S COMPRESSOR FOR VARICOCELE, SWELL- 
ING, ETC., OF THE TESTES. 
We keep in store a large assortment of Suspensory Bandages of all 
kinds and patterns, made of silk, linen, cotton, leather, etc. 20 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edwakd Pfabke. 
Figs. 47, 48, 49, 50. URINALS FOR INCONTINENCE. 
•Fig. 47 is Tiemann & Co.'s instrument for inverted (Extrophy of) blad- 
der. It consists of a metallic or hard rubber shield, to the lower extremity 
of which is attached an elastic tube leading to a soft rubber pouch, to col- 
lect the urine. This is buckled to the thigh or may be carried down to the 
boot. Figs. 48, 49, 50, represent soft rubber urinals for incontinence of 
urine, we have various other patterns for males and females of English, 
French and American make. 
Fig. 51. PFARRE'S APPARATUS FOR UN-UNITED 
FRACTURE, OR RESECTION OF THE HUMERUS. 
Tlie object of this instrument is to restore 
an arm to usefulness, which lias been 
deprived of the power of motion by reason of 
ununited fracture, or of resection of the 
humerus. This is accomplished by sub- 
stituting an external lever, upon which the 
muscles can act, for the injured bone. A 
brass cap, well padded, is accurately fitted to 
the shoulder, and kept in place by axillary 
straps and suspenders. To this cap we 
attach, by means of a sort of universal joint, 
a concave steel bar, covered with leather, 
fitting the arm, and buckled thereto, just 
above the elbow-joint, and as high up as may be necessary. With the aid 
of this apparatus a person can use his arm in many directions. In 
order to make this apparatus fit well, the patient must either visit 
Fig. 51. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
21 
us for adjustment, or, if this is inconvenient, the surgical attendant must 
send us an accurate plaster-paris cast of the shoulder, and the follow- 
ing information and 
Measurements : 
1. Patient's name (or sex). 
2. Hight or left arm • INCHES. 
3. Length of the arm from axilla to forearm when 
flexed, --------- 
4. Length from shoulder to elbow, - 
5. Circumference of the arm above the elbow. 
6. Circumference of chest under axillae, - 
Fig. 52. A SUBSTITUTE FOR THE HAND 
By David Prince, M. D., Jacksonville, Ill. 
Fig. 52. 
(From Medical Record, N. Y.) 
"It has been a desideratum to provide a substitute for the hand which will 
enable a person to hold a pen or pencil, and with the same instrument to 
grasp the handle of a hoe or shovel. In 1864 I explained my plan to Mr. 
Stohlmann, of the firm of Tiemann & Co., of New York. Mr. Stohlmann 
entered with enthusiasm into the idea and produced an instrument which 
combined the two points of usefulness, the capability of grasping small 
objects like pins and pencils, and objects of considerable size, like the 
handle of an axe or hammer, a whip, &c. 
A conception of the instrument will readily be obtained by a glance at 
the cut. The apparatus a is fastened to the investment of the limb by 
means of a screw, and by aid of the other hand, it may readily be replaced 
by a fork, if it is not preferred to hold the fork in the grasp of the instru- 
ment, or a gloved hand can be screwed on in place of the useful instrument. 
The fenestrum b is for holding a whip or hammer, and its size is regulated 
by a screw so as to tit objects of different sizes. Small objects are. held 
in the fork at the ends of the apparatus, and by screwing down more or 22 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
less the lever which constitutes one side of the fenestrum, the grasp can be 
accommodated to the size of a needle or a pencil. 
The instrument is represented in the cut as not quite closed, for very small 
objects. 
The screw which constitutes the shank of the instrument, is so arranged 
that it can be made stationary, a necessary condition in holding a whip or 
a hammer, or left to rotate, as would be necessary in holding the handle of 
a plough. 
It will be seen that the instrument has great variety of adaption. 
There are elastic straps c c attached to the investment of the arm, and to 
a shoulder-cap d, and passed around the chest to prevent the whole appa- 
ratus from sliding off in pulling or in carrying a weight. 
The instrument is very far from being an adequate substitute for the 
natural hand, but it is believed that it combines the utility of a grasp for 
large objects conbined with the capability of holding small things better 
than any instrument which has yet been devised." 
An order for Prince's Substitute for the Hand should be accompanied by 
the following : 
Measurement : 
1. Kight or left arm. inches. 
2. Distance from shoulder to elbow, - - - - " 
3. Distance from elbow to the extremity of stump, '' 
4. Distance from axilla to elbow, - - - " 
5. Distance from axilla to extremity of stump, - " 
6. Circumference of wrist, - - - - - - " 
7. Circumference of forearm, ----- " 
8. Circumference of arm, ------ '' 
9. Circumference of chest, - " 
10. Length of the sound arm, - - - - - " 
11. A pencil sketch of the size of sound hand. 
Fig. 53. APPARATUS FOR OVERCOMING- MUSCULAR 
CONTRACTION OF THE ELBOW-JOINT, 
AND FALSE ANCHYLOSIS. 
Fig. 53. 
The apparatus here represented, is for the gradual 
extension of contracted muscles. By persistent and 
daily passive and active exercise, a flexible and use- 
ful joint may be restored. It may also be used for 
forcible breaking up of false anchyloses if the sur- 
geon prefers this to gradual extension. It forms also 
a safeguard against malposition, for should it be 
deemed impossible to effect a cure, the arm may be 
fixed in such a position to anchylose as shall give 
it the greatest usefulness. 07 CHATHAM STREET. NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
23 
Description and Measurement. 
1. Right or Left Arm. INCHES. 
2. Length from wrist to elbow-joint (A to <J\ - - " 
3. Length from wrist to axilla (A to D), - - - " 
4. Circumference of wrist (A), - - - - - " 
5. Circumference of forearm (7?), - " 
6. Circumference of elbow-joint (C), " 
7. Circumference of arm (D), ----- " 
Fig. 54. TIEMANN & CO.'S GLOVE FOR PARALYSIS 
OF THE EXTENSORS OR CONTRACTION OF 
THE FLEXORS OF THE HAND 
AND FINGERS. 
Fig. 54. 
This apparatus, made of strong yet pliable material, 
reaches about two inches above the wrist, and is arranged 
to lace snugly, to prevent displacement. 
Fiveindia rubber cords, acting as artificial extensors, are 
distributed along the back of the fingers and thumb. The 
ends of these cords are provided with hooks which take 
hold of loops at the extremities of the fingers and thumb, 
and of chains connected to straps at the wrist. These 
artificial muscles act independently one of the other, 
and their strength can be regulated by hooking them to 
the chains so as to make them more or less tense. They 
are passed through loops to prevent their slipping out of 
place. 
Description and Measurement. 
1. Right or left hand. 
2. Lay the hand on a sheet of paper and trace the 
outlines with pencil, as far as the glove is to 
reach. 
3. Circumference of the wrist. 
4. Circumference of the hand anterior to the thumb. 24 
GEO. TIEMANN A CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 55. APPARATUS FOR PREVENTING DISLOCA- 
TION OF THE SHOULDER-JOINT. 
Fig. 55. 
This apparatus is to be worn after re- 
duction of a dislocated humerus, to guard 
against a recurrence, and also for the pur- 
pose of relieving permanent dislocation 
arising from a laxity of the ligaments, or 
from paralysis of the deltoid and scapular 
muscles. It is made of satin-jean with a 
leather shoulder-cap. 
Directions for Measurement. 
1. Patient's name. 
2. Patient's weight (estimated). 
3. Kight or left shoulder. 
4. Circumference of the arm. 
5. Circumference axilla to acromion. 
6. Circumference of chest under axilla. 
Fig. 56. SIR ASTLEY COOPER'S APPARATUS FOR 
DISLOCATED CLAVICLE. 
Fig. 56. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 1(17 East 28th St., N. Y. 
25 
Apparatus for tlje treatment of jjeformities, Mobilities and 
11 till Jitartill. 
Fig. 57. EXTENSION FOR A SHORT LEO. 
For a short leg, the result of infantile paralysis, 
when the bones have not kept pace in growth with 
those of the corresponding extremity, we make an 
extension to correct the patient's limp, and to guard 
against the danger of spinal curvature. The appa- 
ratus consists of a steel frame of proper height, 
securely fastened under a plain shoe. The steel base has a leather sole 
attached, to avoid noise when walking on pavements, stone or wooden 
floors, and to prevent falling on slippery ground. These extensions are 
light and comfortable. See also Figs. 58 and 59. 
Fig. 57. 
Directions for Measurement. 
1. Have the patient (both feet bare) stand up, place books or 
blocks of wood under the short foot until the shoulders 
and pelvis are in a horizontal plane, then measure these 
books and blocks, which will be the height required for 
extension. 
2. Send us a well-fitting shoe. 
3. Right or left leg ? 
If we are to furnish shoes, send the measure as directed on 
next page. 26 
GEO. TIEMANN A CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 58. EXTENSION FOR A SHORT LEG AND BRACE 
FOR WEAK ANKLE COMBINED. 
If shortness of a leg is accompanied with inability 
to bear the weight of the body, the muscles being too 
weak to keep the ankle straight, the simple contriv- 
ance described (Fig. 57) is not sufficient, and the 
apparatus as shown by Fig. 58 will be required to 
support the joint. (This is in reality the apparatus 
Fig. 57 and Fig. 60 combined.) 
Directions for Measurement. 
1. Heighth of the extension as directed for Fig. 57. 
2. Right or left leg ? INCHE8. 
3. Distance from sole to ankle-joint, - " 
4. Distance from sole to calf, - - " 
5. Circumference of calf, - - " 
Send us a well-fitting laced shoe, or, if we are to furnish one, the follow- 
ing measure : 
INCHES. 
a Length of sole of foot, - - - - " 
b Circumference of ball of foot, - - " 
c Circumference of instep, - - - " 
d Circumference above the ankle, - " 
Fig. 58. 
Fig. 15. BIG-G-'S INSTRUMENTS FOR A SHORT LEG- 
Fig. 59. 
This instrument is very useful where shorten- 
ing of the limb is the result of anchylosis of the 
knee-joint. It is a modification of Bigg's, and 
consists of a thigh trough, well padded, and 
attached to a strong steel stem, bifurcating below 
the knee, and running down the sides of the leg, 
terminating in a socket which is filled up with 
a rubber bottom to rest on the ground. The 
thigh is secured into the apparatus by straps and 
buckles. The weight of the body is transmitted 
to the ground by the side stems in a vertical line, 
without straining the knee. For further com- 
fort the knee may be kept in place by a knee- 
cap. A strap is passed over the middle of the 
leg, whilst the foot rests on a swiveled plate 
placed between the bifurcated stem. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
27 
Directions for Measurement. 
1. Patient's name. 
2. Right or left leg ( INCHES. 
3. Length from sole of foot to knee-joint, - - " 
4. Length from knee-joint to upper third of thigh, " 
5. Circumference of the thigh, - - - - " 
6. Circumference of the calf, - - - - - " 
7. Degrees of the angle of flexion, - - - " 
8. Distance from the heel of the patient's shoe to 
the ground when standing erect, " 
Fig. 60. APPARATUS FOR THE SUPPORT OF 
WEAK ANKLES. 
These instruments are used to maintain the position of the foot, after the 
relief of valgus or varus by the regular clubfoot shoe, and also for correcting 
simple lateral inversion or eversion of the ankle- 
joint, resembling varus or valgus, commonly called 
weak ankle. 
We attach, by means of three rivets, to the sole 
of a common laced shoe, a lateral stem, jointed at 
the ankle (a) passing as high as the centre of the 
calf, and here fixed to a band (&). 
The ankle is supported and kept in its corrected 
posture by a triangular V-shaped leather strap (c) 
acting against and buttoned to the steel stem on the 
opposite side. 
The best direction for selecting the side on which 
the instrument should be applied, is, that if the 
outer ankle has a tendency to eversion, the apparatus should invariably 
be placed to the inner side, and vice versa. 
Tn obstinate cases it is made with double stems, in order to give'greater 
security, and to keep the sole in a strictly horizontal plane ; the ankle may 
be further protected by a small round soft pad, to prevent chafing against 
the steel. 
Fig. 60. 28 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 61. TALIPES EQUINUS. 
Fig. 62. APPARATUS FOR WEAK ANKLE AND 
CONTRACTED TENDO ACHILLIS. 
(talipes equinus.) 
Should there be contraction of tlie tendoachillis, and consequent dropping 
of the toes, it is conveniently corrected by means of an artificial elastic 
muscle, one end of which is fastened to the sole of the shoe (Fig. 62), the 
other to the calf-band (Z>); it may be regulated to any degree of tension by 
means of a buckle (<?). 
In ordering the apparatus, send the following description and measure- 
ments : 
1. Patient's name (or sex). 
2. Patient's age. 
3. Weak ankle, resembling varus or valgus ! 
4. Right, left, or both feet 
5. Tendo achillis contracted I inches. 
6. Length from sole of foot to ankle-joint, 
7. Length from sole of foot to calf, - " 
8. Circumference of calf, - - - " 
If you wish us to furnish shoes, send the 
following additional measurements: inches. 
9. Length of sole of foot, - - " 
10. Circumference of ball of foot, " 
11. Circumference of instep, - - " 
12. Circumference above ankh*, - " 
Fig. 62. 67 CHATHAM STREET, NEW YORK. 
Beanch Stobe, 107 East 28th St., N. Y. 
29 
Fig. 63. IMPROVED CLUBFOOT APPARATUS FOR 
TALIPES VARUS. 
Extracted from the " Medical Record," New York, Aug. 16th, 1869. 
' ' The following is a description of a very neat, effective, and compara- 
tively cheap apparatus for talipes, devised by Messrs. Geo. Tiemann & Co., 
instrument-makers in this city. 
"The sole of this strong leather shoe is of metal, with a joint near the 
heel, allowing lateral motion. A strong and durable spiral spring, as shown 
in the cut (a), draws the foot outward by a constant, elastic, and easy 
traction. This pressure is increased or decreased at will, by fastening the 
spring in a series of sockets (c). 
" The single outside upright steel bar, with 
joints at the ankle, is fastened round the limb 
below the knee-joint, and so constructed that 
the screw at the ankle-joint forces the foot flat 
upon the floor, which foot in almost all cases is 
turned under as indicated by the sketch. The 
spiral spring (d), being attached to a catgut 
cord (passing round a pulley at the centre of 
the bar and fastened near the toes upon the 
outside of the foot), elevates the toes and 
stretches the tendo achillis, at the same time 
drawing the foot to its natural position. 
" The shoe is well padded, and as there is no 
metal in the heel-cap, no excoriation is occa- 
sioned. The contraction of the leather above 
the heel prevents the shoe from slipping off 
(always so difficult to retain in fleshy infants). 
The straps round the instep depress any undue prominence of the arch of 
the foot, and within the shoe a broad and well-padded tongue keeps the 
toes flat upon the sole of the shoe. This apparatus resembles much the 
regular shoe, and shows no deformed appearance." 
A very simple and light night shoe, to keep the foot in the same position 
gained by the above shoe during the day-time, is of much service. 
FOR TALIPES A ALGUS, the same principle, but with reversed action, 
is applied. 
In ordering the above shoe, please send the following measurements : 
INCHES. 
1. Length of sole of foot, 
2. Circumference of calf (<7), - - - - . " 
3. Circumference of instep (c), - - - - " 
4. Circumference of ball of foot (a), - - - - " 
5. Circumference above ankle (&), - - - - . " 
6. Length from sole to upper part of calf (d), - - " 
7. Right or left foot ? 
8. Talipes-varus or valgus ( 
Fig. 63. 30 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 64. DR. L. A. SAYRE'S IMPROVED BALL AND 
SOCKET CLUBFOOT SHOE. 
Fig. 64. 
The accompanying drawing (Fig. 64) and ex- 
planations give a very correct idea of its construc- 
tion and modes of action. A cushioned iron cup 
to receive the heel, the leather covering of which 
is carried over the instep and ankle, and fastened 
by lacing. Elastic tubing (TV) to go in front of the 
ankle-joint, to further secure the heel in position, 
and fastening at (C) an iron hook on outside of 
heel-cup. Sole of shoe (7)), cushioned, and laced 
securely in front of the medio-tarsal articulation. 
Ball and socket-joint (AZ), connecting sole with 
heel. Elevated plate of iron (A7), properly cush- 
ioned to make pressure against base of first meta- 
tarsal bone. Steel bars (G), connecting the shoe 
with strap (II) to go around the calf. Joint (AT) opposite the ankle. 
Stationary hooks (A), opposite the toes, for attaching the india-rubber 
muscles (JT Jlf). These india-rubber tubes have chains attached, and 
are for the purpose of making flexion and eversion. 
This shoe has been made more comfortable and convenient by a slight 
heel, and by making the upper leather nearly like that of an ordinary shoe, 
and not so clumsy as the primitive clubfoot shoe. The upper leather adapts 
itself more perfectly by lacing than if arranged with straps and buckles. 
This shoe, as pictured above, is arranged for valgus or varus. There is 
really no essential difference, only observe the principle to apply the 
artificial muscles in such position as shall best supply the place of those 
paralyzed. 
In ordering the above shoe, send the following 
Measurements : 
INCHES. 
1. Length of sole of foot, - - - - - " 
2. Circumference of calf, - - - - - - " 
3. Circumference of instep, - " 
4. Circumference of ball of foot, - - - - " 
5. Circumference above ankle, .... " 
6. Length from sole to upper part of calf, - - " 
7. Right or left foot ? 
8. Talipes-varus or valgus ? 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
31 
Fig. 65. TALPES VALG-US. 
Fig. 65. 
SAYRE'S 
Wire Loops and Hooks, Spinal Apparatus, 
Rubber Tubing for Artificial Muscles, Hip-joint Splints, 
Chains and Tin Splints, Knee-joints and 
Ankle-joint Splints always on hand. 
Fig. 66. TALIPES CALCANEUS. 
Fig. 66. 32 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 67. APPARATUS FOR TALPES CALCANEUS. 
Fig. 67. 
This instrument consists of a pair of steel stems, 
fastened to a shoe, provided with joints at the ankle, 
and secured to the leg with a calf-band. A strong 
elastic cord, or webbing, is fastened posteriorly to the 
calf-band above, and to a spur-like piece of steel at the 
heel of the shoe below. By drawing this cord tight, 
the uplifted sole is faced downward, and the strain on 
the tendo achillis is diminished ; at the same time the 
contracted muscles in front of the leg are extended. 
The tension of this cord, or webbing, can be regulated 
at will by a strap and buckle. 
Fig. 68. 
Fig. 68 shows the same apparatus with th is difference : 
instead of the cord or elastic webbing contracting pos- 
teriorly in Fig. 67, we have a Steel Spiral Spring 
placed on a pivot and playing between brackets of the 
leg and ankle stem, to depress the front part of the 
foot by extension. There is not so much danger of 
falling with this apparatus, when descending stairs, 
the spurs, shown in Fig. 67, being dispensed with. 
Directions for Measurement. 
1. Patient's name. 
2. Patient's weight. 
3. Patient's age. 
4. Right or left foot. inches. 
5. Length from sole to ankle-joint, ... " 
6. Length from sole to calf, - - - - - " 
7. Circumference of calf, ----- " 
If we are to furnish shoes, the following measures are required in 
addition : 
INCHES. 
a Length of the foot, - - - - - - - " 
ft Circumference of ball of foot, - 
c Circumference of instep, - - - - " 
d Circumference of ankle, 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
♦ 
33 
Fig. 69. APPARATUS FOR THE SUPPORT OF 
WEAK LEG-S. 
Fig. 69. 
This apparatus is for the support of weak legs, when, by reason of 
relaxed joints, softening of the osseous structure, or partial paralysis, they 
cannot quite bear the weight of the body ; but where the muscles still 
retain some power to perform their respective functions. Very light steel 
springs are secured to shoes, and carried up the sides of the legs and to the 
pelvis. They are provided with joints corresponding to the natural ones 
and secured to calf, thigh, and pelvis by well-padded bands and buckles. 
This apparatus is worn when the aid of artificial muscles is deemed 
unnecessary. 
Directions eor Measurement. 
1. Patient's name. 
2. Patient's age . INCHES. 
3. Length from sole of foot to ankle-joint, - - " 
4. Length from sole of foot to knee-joint, - - " 
5. Length from sole of foot to hip-joint, - - " 
6. Length from sole of foot to iliac crests, - - " 
7. Circumference of pelvis one inch below iliac crests, " 
8. Circumference of thigh, - - - - " 
9. Circumference of calf, - - - - " 
Send well-fitting laced shoes, or, if you wish us to furnish them, the fol- 
lowing measurements : 
a Length of sole of foot, .... inches. 
b Circumference of ball of foot, - - - " 
c Circumference of instep, - - - - " 
d Circumference above ankle, - - - - " 34 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 70. APPARATUS FOR PARTIAL PARALYSIS 
OF THE LEG- AND THIGH. 
Fig. 70. 
In cases of wasting palsy, or when certain groups of 
muscles become atrophied and lose the power to- perform 
their functions, an apparatus as shown, Fig. 70, suited to the 
case, should be worn. The muscles are excited into action, and 
aided by artificial substitutes made of elastic rubber or steel, 
and placed on the instrument so as to gently exercise the 
affected parts. This will often recall them to a sense of their 
duty. 
Required Measurements : 
1. Patient's name. 
2. Patient's age. 
3. Right or left leg. inches. 
4. Length from sole of foot to ankle-joint, - - " 
5. Length from sole of foot to knee-joint, - - " 
6. Length from sole of foot to upper third of thigh, - " 
7. Circumference of calf, - - - - " 
8. Circumference of knee, - - - - " 
9. Circumference above knee, - - - " 
10. Circumference of • thigh, - - - - " 
Send laced shoes. If you wish us to furnish shoes, the following- 
additional measurements are required : 
a Length of sole of foot, - - * - - inches. 
b Circumference of ball of foot, - - - - " 
c Circumference of instep, - - - - " 
d Circumference above ankle, - - - - " 
If both legs are of equal length the above apparatus is sufficient ; but if 
the affected limb is shorter than its fellow, the extension apparatus, Fig. 
58, must be combined with it. 67 CHATHAM STREET. NEW YORK. 
Branch Store. 107 East 28th St., N. Y. 
35 
Fig. 71. APPARATUS FOR HEMIPLEGIA. 
The apparatus represented by Fig. 71 is for hemiplegia, 
affecting the limb to the hip-joint. We have often had 
occasion to make it, and found it to answer a good pur- 
pose, both as a support, and in aiding the restoration of 
the mobility of the muscles. It answers to the same 
description as Fig. 70, but is carried up to the pelvis. 
On to a broad steel pelvic band we fasten the artificial 
muscles for flexion or extension, as the case may require. 
This instrument may also be worn with good results after 
treatment of hip-joint disease, when, by adding a perineal 
band, the weight of the body is borne by the apparatus. 
Fig. 71. 
Send the Following Measurements: 
1. Patient's name and description of the case. 
2. Patient's age. 
3. Right or left leg. , IHCheS. 
4. Length from sole of foot to ankle-joint, - " 
5. Length from sole of foot to knee-joint, - - " 
6. Length from sole of foot to trochanter-major, " 
7. Length from sole of foot to crest of ilium, - kt 
8. Circumference of calf, - - - " 
9. Circumference of knee, - - - - " 
10. Circumference above knee, - - - " 
11. Circumference of thigh, - - - " 
12. Circumference of pelvis 1 inch below iliac crests, " 
Patients will furnish their own laced shoes, or send 
the following additional measurements, if they wish 
us to furnish them : 
a Length of sole of foot, - - inches. 
b Circumference of ball of foot, - - " 
c Circumference of instep, - - " 
Circumference above ankle, - - " 
Fig. 72. 
Fig. 72. APPARATUS FOR PARA- 
PLEGIA. 
The apparatus for paraplegia answers to the same 
description as the one for hemiplegia, except that it 
is double. Tt is used when both of the lower extremi- 
ties are affected. A- general description of the case is 
necessary to guide us in placing the artificial muscles 
in the right spot. The directions for measurements 
are the same as for the apparatus for hemiplegia. 
Fig. 71. 36 
GEO. TIEMANN A CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 73. BOW-LEG- BRACES. 
The mechanical treatment of bow legs is very simple. 1. The bones, 
in a softened condition, yielding under the weight of the body, must be 
assisted by extraneous help. 2. The arched bones must be restored to their 
normal condition. The instrument illustrated by the cut answers the pur- 
pose admirably. 
The support is given by double stems of steel (secured to 
a shoe), carried up as high as the thigh-jointed at the 
ankle and knee to allow the patient perfect freedom of 
motion. They are kept in place by calf (a), and thigh- 
bands (Z>). 
The bow is corrected by pads (c) and (rZ) being placed 
respectively against the ankle and knee on the concave side 
of the limb, whilst a strap (e) passed around on the highest 
point of the arc, inside of the outer stem, tightly buttoned 
to the steel bar on the concave side, gradually compels the 
leg to become parallel with it. 
In slight cases, or when the bow is greatest below the calf, 
the instrument carried up to (<Z) only is sufficient. To insure 
a good tit, please, in ordering the apparatus, to send the 
following description and measurements for a pair of 
bow-leg braces. 
Fig. 72. 
Directions for Measurement. 
1. Patient's name, or sex. 
2. Patient's age. INCHE8 
3. Length from sole of foot to ankle-joint (c), - - " 
4. Length from sole of foot to knee-joint, inner side (<T) " 
5. Length from sole of foot to knee-joint, convex or outer 
side, (<7), - 41 - - " 
6. Length from sole of foot to upper third of thigh, 
inner side of leg (d), - - - " 
7. Length from sole of foot to highest point of the arc (e), 
8. Circumference of calf (a), - - - . " 
9. Circumference of thigh (/>), - - - " 
Patients will furnish their own laced shoes, or send the following 
measurements, if they wish us to furnish them : 
a Length of the sole of the foot, - - - inches. 
b Circumference of ball of foot, - - - " 
c Circumference of instep, - - . . " 
d Circumference above ankle, - - - " 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
37 
Fig. 74. G-ENU-VALG-UM, OR KNOCK-KNEE BRACE. 
rile mechanical treatment of knock-knees requires a proper instrument 
of sufficient strength and yet not too heavy-to suit the condition of the 
patient. The one represented is the simplest and most effectual one of 
which we know. It consists (if the deformity be double) of two lateral 
stems, with joints at the ankles, knees and hips, extending from the heels 
of strong shoes (a) to a well-padded pelvic band 
(Z>). The pelvic band is made in two halves in 
order to admit of adjustment-the tightening of 
the posterior buckle everting the toes, that of the 
front buckle inverting them. 
A pair of padded straps secured to each other 
crosswise act in the following manner : 
End 1 is buttoned to the thigh stem (c), carried 
from behind, below the inner condyle, to the front, 
terminating in the end 2, which is buttoned to the 
leg stem (<Z). 
The end 3 buttons to (c) is carried from the front 
to the back of the knee, passing over the inner 
condyle, and secured to the button (<Z)r In this 
manner they support both the head of the tibia 
and femur, whilst their combined direction of 
force being outwards gradually corrects the deformity.* 
Some surgeons prefer to have the apparatus without a joint at the knee, 
but is there not a risk of inducing anchylosis by too long retention of the 
limb in one position ? Besides, the patient is liable to fall with stiff splints, 
and is thus in constant danger of fracturing the bones of the thigh or leg. 
In ordering the apparatus, send the following description and measure- 
ments for knock-knees : 
Fig. 74. 
1. Patient's name. 
2. Patient's age. ISCHES 
3. Length from sole of foot to ankle-joint, - - " 
4. Length from sole of foot to knee-joint, - - " 
5. Length from sole of foot to hip-joint, - - - " 
6. Length from sole of foot to iliac crests, - - " 
7. Circumference of pelvis 1 inch below iliac crests, - 
8. Circumference of thigh at c, 
9. Circumference of leg at d, 
A stick to be placed on the out- 
side of the limb, and these two 
measures taken around both. 
10. Rig]it, left, both feet. 
If you wish us to furnish shoes, send the following additional measure- 
ments : 
11. Length of sole of foot, - inches. 
12. Circumference of ball of foot, - - - " 
13. Circumference of instep, - - . . " 
14. Circumference above ankle, - - - " 
* Thi® instru™eu* exerts very much more power, and answers better when provided with padded metal bands at the 
tnign (e) and calf (/). 38 
GEO. TIEMANN A CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 75. BRACE FOR CORRECTING- ANTERIOR 
CURVATURE OF THE TIBIA. 
Fig. 75. 
Tliis cut is a fail- representation of the instrument. Tt 
consists of two upright steel steins, fastened below to a 
shoe and terminating above the calf-band. The deformity 
is corrected, either by passing a leather bandage around 
the stems and tightly lacing it in front over the arc of the 
curvature (u), or by a strap passed over the arc of the cur- 
vature and fastened to a spur suspended from the calf- 
band behind (c). 
The points of resistance being in either ease the heel of 
the shoe (ft) and the posterior trough of the calf-band (c). 
In ordering the apparatus, send the following partic- 
ulars and measurements. 
1. Patient's name (or sex). 
2. Patient's age. 
3. Anterior curvature of the tibia. 
-1. \\ hicll foot ? INCHES. 
5. Length from sole to ankle-joint, - - - " 
6. Length from sole to calf (c), - - - " 
7. Circumference of calf, - - - - " 
If you wish us to furnish shoes, send the following additional measure- 
ments : 
a Length of sole of foot, - inches. 
ft Circumference of ball of foot, - - - " 
c Circumference of instep, - - . " 
d Circumference above ankle, - - - " 
Fig. 76. 
Fig. 76. 
BARWELL'S ATTACHMENTS 
AND ARTIFICIAL MUSCLES 
FOR ADJUSTING- CLUB- 
FEET. 
Moleskin plaster, wire loops, tin plates, 
hooks for rubber tubes, and tubing for 
artificial muscles. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
39 
Fig. 77. APPARATUS TO EVERT THE FEET. 
Fig. 77. 
This apparatus answers well for in-door 
exercise, but patients cannot get up or 
down stairs, nor walk on uneven ground 
without being in constant.danger of fall- 
ing. An apparatus carried up to a pelvic 
band, made in two halves, answers this 
purpose better. This pelvic band admits 
of adjustment, the tightening of the pos- 
terior buckle everts the toes, whilst that 
of the front buckle inverts them. All our 
pelvic bands on the apparatus for the 
lower extremities are arranged in this 
manner, and answer the purpose very 
well. (See pelvic bands described on 
apparatus, Fig. 74.) 
STEEL SOLES FOR FLAT FEET. 
For flat feet we make a plain steel sole, well tempered, and shaped to 
approach an ideal arch of a foot. These soles are covered with buckskin, 
aird fastened inside of a common shoe with a single screw. It affords a 
person afflicted with flat feet immediate relief. It should be thin to yield 
a little, but strong enough to keep the bones arched. In ordering the steel 
sole for flat feet, send measure or the outlines of the foot, and state if 
they are wanted for the right, left, or for both feet. 
Fig. 78. BIG-G-'S APPARATUS FOR BUNIONS. 
This apparatus consists of a delicate lever of 
spring steel, with an oval ring in the centre, which 
is provided with hinges at its anterior and posterior 
margin. The apparatus is attached to the instep by 
a laced band, and the toe to the extremity of the 
spring by a piece of webbing. It affords the articu- 
lation freedom of motion in the natural plane, whilst 
the malposition of the toe is gradually rectified by 
constant lateral traction. It can be worn in a shoe. 
Directions for Measurement. 
1. Place the foot on paper and trace with pencil. 
2. Circumference of ball of foot. - inches. 
3. Circumference of instep, - - - " 
Fig. 78. 40 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edward Pfarre. 
Fig. 79. APPARATUS FOR OVER-RIDING TOES. 
The apparatus for over-riding, or 
" hammer toes," consists of a steel sole 
arranged with slits corresponding to the 
spaces between the toes. A strap of 
webbing is passed through these slits 
and over the contracted toe (or over each 
and all, as the case may require), and 
buckled or tied under the sole, tense 
enough to straighten the toe. This 
apparatus is kept in place by a thin silk, linen or cotton covering, laced to 
the instep, and may be worn in an ordinary shoe. 
Directions for Measurements. 
1. Place the foot on paper and trace with pencil. inches. 
2. Circumference of ball of foot, - - - " 
3. Circumference of instep, - - - " 
Fig. 79. 
Fig. 80. APPARATUS FOR FALSE JOINTS IN THE 
LEG OR THIGH RESULTING FROM RESECTION 
OR FRACTURE OF THE BONES (Ununited). 
Fig. 80. 
This apparatus consists of two lateral steel 
steins, the inner one of these is carried to the 
upper third of the thigh, the outer one terminates 
in a pelvic band situated an inch below the iliac 
crests. Calf and thigh-bands, made either of 
sole-leather, nicely moulded to the limb, or of 
sail-cloth, stayed by a number of steel springs, 
corset-like, and well padded, connect the steel 
stems, which latter are provided with joints for 
the ankle, knee and hip. The strength of these 
stems must be in proportion to the patient's 
weight. The leather or sail-cloth casing is re- 
quired only at the place of the false joint, the 
other band may be softer and smaller, as con- 
venient. If desired, the knee-joint may be made 
to remain stiff when walking, and flexible when 
sitting down, by merely touching a spring with 
the hand outside of the clothing. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
41 
Directions for Measurement. 
1. Patient's name. 
2. Patient's weight. 
3. Right or left leg. 
4. Position of false joint. inches. 
5. Length from sole to ankle, - - - - - - " 
6. Length from sole to knee, - - - - - " 
7. Length from sole to crutch (perineum), - - - " 
8. Length from sole to trochanter major, - - - " 
9. Length from sole to iliac crest, - - - - - " 
10. Circumference at 
1st buckle, - inches. 7th buckle, - - inches. 
2d " - - " 8th " - " 
3d " - " 9th " - - " 
4th " - - " 10th " " 
Sth " - " 11th " " 
6th " - " 12th " . . . " 
11. Circumference of pelvis one inch below iliac crests, - " 
If it be desirable to furnish shoes, the following additional measure- 
ments are required: 
INCHES. 
a Length of the sole of foot, - - - - - " 
b Circumference of the ball of foot, - - - - " 
c Circumference of instep, - - - - - - " 
d Circumference of ankle, - - - - - - " 
Fig. 81. DAVIS' HIP-JOINT SPLINT. 
Davis1 Portable Extension Apparatus allows mobility of 
the joint, while it diminishes friction of its surfaces. It is 
used in attempting to re-establish the natural functions of 
tlie part. The apparatus is to be worn when the acute stage is 
passed. Extension is made from the foot, counter-extension 
from a twofold perineal band, the outer one of which is 
inelastic, the other composed of elastic webbing, so as to 
allow extension to a certain point only, when the joint can 
be fixed. It is applied to the limb by means of adhesive 
plaster strips, secured with roller bandage. It is applicable 
to either right or left leg. 
Directions for Measurement. 
Length from the ankle to iliac crest, - inches. 
This is the only measure needed, as the splint admits of 
considerable adjustment of length. 
Fig. 81. 42 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 82. DR. L. A. SAYRE'S APPARATUS FOR THE 
TREATMENT OF HIP-JOINT DISEASE, 
Fig. 82. 
consists of two portions, the upper, made of cor- 
rugated steel, attached by means of a universal joint 
to a pad of proper size (<Z) fitting on the dorsum 
below the crest of the ilium, and holding in place a 
perineal band (<?) adjustable by strong webbing and 
buckles (bb). 
The lower portion (/), is simply a ratched bar, 
sliding within the first. Its inferior extremity is 
easily adjusted by means of a single screw to either 
side of two semi-circular bands (aa), embracing the 
thigh just above the knee, making the apparatus 
answer for both limbs. The cut representing the 
same arranged for the left leg. 
Extension is made by working the splint with the 
key/. 
THE APPLICATION OF THE SPLINT 
is as simple as its construction. Take strong adhesive plaster, spread on 
twilled muslin, cut two fan-shaped pieces (Fig. 83), one large enough to 
reach from the perineum to within two or three inches of the condyle of 
the femur, on the inner side of the thigh, the other from the 
trochanter major to a point directly opposite the end of the 
inner plaster. Sew on the narrow end of each (Fig. 83), «, one 
of the webbings, represented in Fig. 82, aa (not on the sticky 
side). Apply them to their respective places, and after 
pressing them with the warm hand, to obtain a firm adhesion, 
secure them further by a well-adj Listed roller. The instru- 
ment contracted, is now laid over the thigh, the webbing (Fig. 
83), a, firmly fastened over the rollers to the buckles (Fig. 82), 
aa, and the remaining one around the thigh. The perineal band is now 
adjusted, rather firm, and the instrument extended with the key, just 
enough to make the patient comfortable, and then locked by pulling the 
slide dowm over the spring (Fig. 82), c. 
In order to prevent the limb from swelling below the bandage, Dr. Sayre 
recommends the use of an elastic stocking or knee-cap. 
Directions for Measurement. 
1. Length from trochanter major to knee-joint, - inches. 
2. Circumference of thigh above knee, - - " 
Fig. 83. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
43 
Figs. 84a, 84b. HAMILTON'S WIRE G-AUZE SPLINT 
FOR HIP-JOINT DISEASE. 
Fig. 84a. 
Fig. 84b. 
The above splint consists of an iron wire frame, moulded to the outside 
or back of the pelvis and thigh, covered with wire gauze. It is kept in 
place by a pelvic and a broad thigh-band, and secured with buckles. Dr. 
Hamilton advises its use whenever it is desirable to secure immobility of 
the joint, together with exercise in the open air. 
Directions for Measurement. 
1. Name of patient. 
2. Age of patient. 
3. Weight of patient (estimated). 
4. Right or left side • INCHES. 
5. Crest of ilium to the condyles of the femur, - - " 
6. Circumference of the pelvis at iliac crests,, - - " 
7. Circumference at the nates, - - - - - " 
8. Circumference of the upper part of the thigh, - " 
9. Circumference of the thigh above the knee, - - " 44 
GEO. TIEMANN * CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 85. BAUER'S HIP-JOINT APPARATUS. 
This apparatus affords extension in a vertical line, and 
complete immobility of the joint. By being fastened to a 
shoe it utilizes the foot for extension, the tuber ischii for 
counter-extension and the key rack and pinion for a moving 
power. No adhesive strips are used with this apparatus. 
Directions for Measurement. 
1. Patient's name. 
2. Patient's age. 
3. Patient's weight (estimated). 
4. Right or left leg. INCHES. 
5. Length from the sole to the tuber ischii (sound leg) " 
6. Length from the sole to the tuber ischii (diseased leg) ' ' 
7. Circumference of calf - - - - - " 
8. Circumference of calf, ----- " 
Send a shoe, or the following additional measures if you 
wish us to furnish one : 
a Length of the foot, ------- inches. 
b Circumference of ball of foot, - " 
c Circumference of instep, - - - - - - " 
d Circumference above ankle, ----- " 
Fig. 85. 
Fig. 86. BAUER'S WIRE BREECHES 
Fist. 88. 
Bauer's Wire Breeehes are used after excision 
of the head and neck of the femur in necrosis, 
after the removal of shattered bone, or balls in 
gun-shot fracture, and in the treatment of chronic 
inflammation of the hip-joint when perfect rest 
and position of the affected parts are desired. It 
consists of a heavy wire frame covered with wire 
gauze to fit the posterior half of the body from 
the axillary cavity to the sole of the foot. 
Proper sized openings may be cut through the 
gauze to admit of dressing any wounds, without 
being obliged to remove the splints. There is also 
an opening for the anus, so that the patient can 
pass his freces by having the lower end of the 
apparatus raised and a bed-pan placed under it. 
The apparatus may be lined with cotton batting, 
and the patient securely fastened with adhesive 
plaster strips and roller-bandages. After the 
feet are secured to the foot-board, extension can 
be made by turning the thumb-screws, counter- 
extension being from the healthy extremity. 67 CHATHAM STREET, NEW YORK. 
Branch Stoke, 107 East 28th St., N. Y. 
45 
Directions for Measurement. 
1. Patient's name. 
2. Patient's age. 
3. Patient's weight. INCHES. 
4. Length from sole of foot to axilla, - - - - " 
5. Length from sole of foot to perineum, - - : " 
6. Circumference of calf, - - - - - - - " 
7. Circumference of knee, - - - - - - • " 
8. Circumference of thigh, - - - - - - " 
9. Circumference at the nates, - - - - - " 
10. Circumference of pelvis at iliac crests, - - - " 
11. Circumference of waist, ------ " 
12. Circumference of chest under axillae, - - - " 
Fig. 87. TAYLOR'S HIP-JOINT SPLINT. 
This splint extends from the sole of the foot to the 
crest of the ilium, at which point it is connected to a 
pelvic band by means of a joint allowing flexion and 
extension, abduction and adduction: which latter 
motion is regulated by means of a thumb-screw. Ex- 
tension is made by means of a rack and pinion rod, 
sliding within a steel tube, moved by a key, and kept 
in position by a spring catching the teeth of the rack. 
Counter-extension is made by means of two perineal 
straps fastened to the pelvic band with straps and 
buckles. 
Application of the splint: Adhesive straps are 
applied to both sides of the leg, the inside straps 
terminating in a buckle, the outside in a piece of 
webbing which is passed through a slit in the appa- 
ratus, thence under the foot and through another slit 
at the end of the footpiece, and buckled to the inside 
strap just above the internal malleolus. The splint is 
kept in place by a knee-cap. After adjusting the pelvic 
band and the perineal straps snugly, further extension is made with the 
key. 
Directions for Measurement. 
1. Name of patient. 
2. Age of patient. 
3. Weight of patient. 
4. Right or left leg. IHCHES. 
5. Length from sole to crest of ilium, - - - - " 
6. Circumference of pelvis at iliac crests, - - - " 
Fig. 87. 46 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 88. 
Fig. 88. WASHBURN'S HIP-JOINT 
SPLINT. 
This is a simple, straight bar of steel, jointed to a 
pelvic band. It is intended for poor patients, and has 
neither racks, pinions, nor screws. Extension is made, 
after fastening the lower end with adhesive strips, 
simply by the degree of tensity to which the perineal 
straps are adjusted. A knee-cap assists in keeping the 
splint in place. 
Directions for Measurements. 
1. Length from ankle to dorsum ilii, - inches. 
2. Circumference of pelvis, - - - " 
Fig. 89. 
Fig. 89. J. C. HUTCHINSON'S HIP-JOINT 
APPARATUS. 
This apparatus is portable, and, being fastened to a 
shoe, needs no adhesive strips. Two rods of steel 
extend from the foot to the upper third of the thigh 
and are secured to the leg with calf and thigh-bands. 
The outside rod, longer than the other one, is ratched, 
and slides in a steel tube which is hinged by a ball and 
socket joint to a pelvic band. To this pelvic band 
is attached a perineal strap for counter-extension. 
Extension is made by working the splint with a key. 
The splint is provided with joints for the ankle and 
knee, the later one is adjustable to any degree of 
flexion and extension, and may be fixed at any point 
or its motion limited, by an arrangement of a semi- 
circular screw and two nuts. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
47 
Directions for Measurement. 
1. Name of patient. 
2. Age of patient. 
3. Weight of patient. 
4. Right or leit leg. ~ inches. 
5. Length from sole of foot to ankle joint, - - " 
6. Length from sole of foot to knee joint, - - - " 
7. Length from sole of foot to trochanter major, - - " 
8. Length from sole of foot to crest of ilium, - - " 
9. Circumference of calf, - - - - - - - " 
10. Circumference of thigh, ------ " 
11. Circumference of pelvis, - " 
If you wish us to furnish shoes, send the following additional 
measurements: 
a Length of foot, -------- inches. 
b Circumference of ball of foot, - - - - - " 
c Circumference of instep, - - . - - " 
d Circumference of ankle, " 
Fig. 90. APPARATUS FOR OVERCOMING- MUSCULAR 
CONTRACTIONS OF THE KNEE-JOINT, AND FOR 
FAVORING THE RE-ESTABLISHMENT OF 
MOTION IN CASES OF FALSE 
ANCHYLOSIS. 
It consists of metal troughs 1, 2, 3, for the reception of the thigh and 
leg, united by two lateral shafts, provided with joints at the knee and 
ankle and attached to a shoe. A knee-cap, adjusted 
to buttons on the lateral shafts with strong elastic 
straps, exerts pressure on the patella, whilst the 
instrument may be Hexed and extended by means of 
a key (r/) and rachet-joint, opposite the knee. 
It is an admirable apparatus for the gradual exten- 
sion of contracted muscles and for favoring the re- 
establishment of motion in cases of false anchylosis, 
and of remaining stiffness and dryness after treat- 
ment of joint disease. By persistent and daily 
passive exercise a flexible and useful joint may be 
restored without confining the patient to bed or 
room. The mechanism is powerful, and may be 
moved swiftly, adapting it to the forcible breaking 
up of adhesions as well, should the surgeon prefer 
this to gradual extension. If desired, the instrument can be made to 
detach from the shoe, for the greater comfort of patients who are obliged 
to wear the apparatus continually, but wishing to remove the shoe at night. 
It is also the best guard against malposition, for should it be deemed im- 
possible to effect a cure the limb may be placed in a situation (to anchylose) 
most conducive to its future usefulness. 
Fig. 90. 48 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 91. SHORT ANCHYLOSIS APPARATUS FOR KNEE 
AND ELBOW-JOINT. 
Fig. 91. 
This is the same in principle as 
Fig. 90, but consists of a thigh and 
a calf band only. It does not keep 
in place as well as the one described 
above, but answers well in slight 
cases. 
Fig. 92. 
Fig. 92. ANCHYLOSIS APPARATUS 
FOR KNEE AND ELBOW-JOINTS. 
With Screw. 
This is a simpler and lower-priced apparatus, 
but not so elegant in form, nor so comfortable to 
wear. The cut explains itself. 
Either pattern may be adapted for the arm or 
leg. 
In order to insure a good tit, we require the 
following description and measurements : 
1. Anchylosis Apparatus, Fig. 90, Fig. 91, or Fig. 92. 
2. Right or left leg. 
3. Patient's name. 
4. Patient's age. inches. 
5. Length from sole of foot to ankle joint (a), - - " 
6. Length from sole of foot to knee joint (<Z), - - " 
7. Length from sole of foot to upper third of thigh (/'), " 
8. Circumference above ankle (Z>), - - - - " 
9. Circumference of calf (c), - - - - - - " 
10. Circumference of - - - - - " 
11. Circumference above knee (e), - - - - . " 
12. Circumference of thigh - - - - " 
If you wish us to furnish shoes, send the following additional measures : 
a Length of sole of foot, ------- inches. 
b Circumference of ball of foot, - - - - - " 
c Circumference of instep, - - - - - - " 
d Circumference above ankle, - - - - - " 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
49 
Fig. 93. DR. L. A. SAYRE'S APPARATUS FOR THE 
EXTENSION OF THE KNEE-JOINT IN 
CHRONIC INFLAMMATION. 
It consists of two 
bands or collars of 
sheet-steel, abont an 
inch wide, embrac- 
ing the limb-the one 
above the ankle, the 
other at the upper 
third of the thigh. 
They admit of ad- 
justment by means 
of a hinge and slide, 
and may be locked, 
at any given point, 
by turning the nut with the key 
fitted for this purpose. They are 
connected on either side by an ex- 
tension rod, of the rack and pinion 
(or screw) construction. 
To apply this in- 
strument, adhesive 
plaster is required, 
spread on twilled 
goods, and cut in 
strips one inch wide 
and long enough to 
reach from just be- 
low the knee to near 
the ankle, and from 
the knee upwards 
several indies, as 
here represented. 
(Fig. 94.) 
These plasters are 
secured to within 
an inch of their 
extremities by a 
snugly adjusted 
roller, as seen in 
the cut (Fig. 95). 
The instrument 
is then placed 
on the limb, the 
collars fastened 
sufficiently to 
be comfortable, 
and the loose 
ends of the ad- 
hesive plasters 
turned over and 
secured by a rol- 
Fig. 93. 
lhe connecting 
rods are extended 
simultaneously (by 
the keys of the 
rack and pinion 
construction, or by 
turning the screws 
if made in the lat- 
ter way, the artic- 
ulating surfaces of 
the tibia and femur 
separated from each 
other, and the limb 
brought nearly 
straight as in Figs. 
96, 97, until pres- 
sure can be made 
on the foot without pain. 
A roller is applied over 
the foot and leg up to 
the instrument, to pre- 
vent oedema. A large 
coarse sponge is placed 
in the popliteal space, 
and other pieces of 
sponge completely sur- 
round the knee-joint; 
these are secured' by a 
tight roller and then sat- 
urated with cold water. 
The cold water not only 
reduces the inflamma- 
tion of the joint, but, by 
increasing the pressure 
of the sponge, promotes the ab 
sorption of the deposits that gen 
erally occur around and in a join 
in this condition of chronic inflam 
mation. 
Fig. 96. 
Fig. 94. 
Fig. 97. 
Fig. 95. 
The necessary measurements in 
ordering the above are : inches. 
1. Circumference of thigh, " 
2. " leg above ankle " 
3. " knee, - " 
4. Length from above ankle to 
upper third of thigh, - u GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edward Pfarre. 
50 
Fig. 98. DR. L. A. SAYRE'S APPARATUS FOR THE 
EXTENSION OF THE ANKLE-JOINT IN 
CHRONIC INFLAMMATION. 
Fig. 98. 
This instrument consists of a firm steel plate, made 
to fit the sole of the foot; at the heel is a hinge-joint, 
and attached to it a rod, slightly curved at the bottom, 
and extending up the back of the leg to near the knee. 
Over the instep is an arch, like the top of a stirrup, 
with a hinge-joint at its summit from which springs 
another rod, which runs in front of the leg, of equal 
length with the one behind. These rods are made with 
a male and female screw, or ratchet and cog for exten- 
sion, and connected at the top by a firm band or collar of 
sheet-steel, admitting of adjustment by a slide, and may be 
locked by turning the nut with the key. The instrument is 
applied with firm adhesive plaster, cut in strips about one inch 
wide, and long enough to reach from the ankle to near the 
tubercle of the tibia, and placed all around the limb, Fig. 99 ; 
the plaster is secured in its position, to within an inch of its 
upper extremity, by a well-adjusted roller. 
The instrument is fixed, and the foot firmly secured by a 
number of strips of adhesive plaster, and a roller should be 
carefully applied over this plaster to prevent its slipping, and 
the ends of the plaster at the top of the instrument turned 
over the collar, which has been previously locked, just tight 
enough to be comfortable, and secured by a turn or two of the 
bandage as represented above. (Fig. 100.) 
Fig. 99. 
The necessary measurements in ordering the above are : 
1. Length of the sole of the foot, INCHES. 
2. Height from sole to 2 inches below knee, - " 
3. Circumference of calf, - - . . " 
4. Circumference of instep, - - - - " 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
51 
plastic floss. 
We keep constantly in store a large assortment of the best qualities of 
SILK AND COTTON ELASTIC HOSE, 
For the treatment of varicose veins, weak joints, sprains, etc. 
Directions for Measuring for Elastic Hose. 
Indicate the measure around the limb in inches oppo- 
site the dotted lines on the cut. 
For stockings to cover the entire limb, measure at 
A, B, C, D, E, F, G, H. 
For stockings to reach to G, measure at A, B, C, D, 
E, F, G. 
For stockings to reach to D, measure at A, B, C, D. 
For knee-caps, measure at D, E, F. 
For anklets, measure at A, B. 
Cotton and silk elastic abdominal belts, stockings, wristlets and armlets 
made to order. 
Best silk, fine silk, and cotton-elastic at low rates. 
Fig. 101. 52 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfakre. 
fracture Apparatus. 
Apparatus for Fractures of the Femur. 
Fig. 102. NATHAN R. SMITH'S ANTERIOR SPLINT 
AND SUSPENDING APPARATUS FOR FRAC- 
TURES OF THE LEG AND THIGH. 
Fig. 102. 
This splint is simply a frame composed of stout wire which, being sus- 
pended, allows the limb, fastened to it by rollers, to be suspended in turn. 
The rollers passing around both limb and splint, from the foot to the 
groin. The splint should extend from above the anterior superior spinous 
process of the ilium to a point beyond the toes. The lateral bars of the 
splint are separated about three inches. One of the spring double hooks 
fastened to the short cord for suspension ought to be nearly over the seat 
of fracture, the other a little above the middle of the leg. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
53 
Fig. 103. NATHAN R. SMITH'S ANTERIOR SPLINT 
AND WIRE-OAUZE SUPPORTER. 
For the Treatment of Fractures, Luxations, &c., of the Lower 
Extremities. 
Fig. 103a. 
B B B represents the wire-gauze applied. Dr. Smith's anterior splint is 
clearly seen above at AAA. The cords and pulleys are sufficiently well 
defined to be readily recognized at D. 
Extract from a paper read before the Medico-Chirurgical Society of Maryland at its ■Annual Meeting 
in Baltimore, April 2d, 1872. 
By Harvey L. Byrd, M. D. 
"After taking proper dimensions of the thigh, popliteal region, leg and 
heel, the gauze is cut so as to adapt it to the posterior and lateral surface of 
the limb, and then bound around with stout cloth (thin, fine leather has 
been found from experience to answer a better purpose), with buckles and 54 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
straps attached at suitable intervals. The limb is then made nude by the 
removal of the bandage that sustains the splint, and the wire-gauze, as 
about prepared, placed in position under it. When this is accomplished, 
the 44 anterior splint," receiving proper shape, is placed over the front of 
the extremity, the wire-gauze secured by the buckles and straps to its 
longitudinal bars, and the hooks for the suspensory apparatus above 
having been passed into the rings or eyelets of the transverse bars of the 
4 splints,' the limb is swung from the bed. The greatest comfort is immedi- 
ately experienced by the patient, and after adjusting the lengths of the 
straps so as to secure evenness and accuracy of adaptation of the wire- 
gauze to the entire posterior and lateral surface of the limb, the patient is 
left for the day. 
"The whole manipulation, from the time the wire-gauze is ready for 
application until the procedure is accomplished, does not occupy as much 
time as has been consumed in writing this account of it. If the foregoing 
details are sufficiently clear of comprehension, it will be observed that the 
important objects of extension and counter-extension are as fully accom- 
plished as by any other means, while the great relief from all anterior 
compression of muscles and the free exposure of the surface of the limb 
to the atmosphere, not only anteriorly, but latterly and posteriorly also, 
is sufficient to impart the greatest comfort. But the scientific surgeon will 
readily perceive other, and if possible greater advantages, which may be 
obtained from the wire-gauze in the management of fractures and wounds 
of the lower extremities ; or perhaps we should rather say great additional 
advantages, for it is difficult to conceive of any much greater advantage 
than free ventilation in such cases. The chief of these alluded to, for 
example, as in compound and comminuted fractures, sabre and bullet 
wounds, or in other wounds involving the skin and subjacent structures, 
and requiring frequent ablution or dressing, without disturbing the general 
position or condition of the limb, will be sought for in vain outside of the 
wire-gauze. 
44 A wound may be clearly seen and freely syringed or sponged, and 
receive other local treatment through the wire gauze, even when situated on 
the posterior or lateral aspect of the limb, without disturbing its position 
in the slightest uncomfortable degree. Again, where it is desirable to 
remove, at any point, undue or uncomfortable pressure, nothing is more 
easily accomplished, as the leather straps and buckles attached to the margin 
of the wire-gauze may be slackened or tightened at such points as may be 
necessary to secure the desired relief. By this management, undue press- 
ure on the muscles may be almost completely obviated. The foot and heel 
may be turned to most important account as a lever or weight in certain 
fractures, by increasing or lessening the support which the anterior cord 
and pulley, or sling attached to the distal end of the gauze is capable of 
effecting. 
44 Besides the foregoing, there are still other advantages attainable by the C>7 CHATHAM STREET, NEW YORK. 
Bkanch Stoee, 107 East 28th St., N. Y. 
55 
wire-gauze when properly attached to the anterior splint, or other support. 
But these will readily suggest themselves to the inteligent practitioner in 
individual cases. The writer has become satisfied from his own and the 
experience of friends, that the wire-gauze sufficiently fine, accurately cut, 
and properly adjusted to the limb, and anterior support, that less sagging 
takes place than under any other method of treating fractures, and 
consequently less deformity results from this than any other mode of 
treatment where bandages are used." 
Fig. 104. SKINNER'S NEW AND IMPROVED 
FRACTURE BED. 
Fig. 104. 
By referring to the cut, the surgeon will readily comprehend the manner 
of treating a fracture on this bed. In the cut, A represents the bed proper, 
or the sliding portion thereof, which is six feet long, two and one-half feet 
wide, six inches high at the head and one inch at the foot. It is covered 
about two-thirds of its length with zinc cut into strips and laid longi- 
tudinally to the bed. A hole is made through this covering for defecation, 
which hole is covered with a sheet-iron cap that can be withdrawn when 
required. The side rails of the bed A rest on six rolls that run in grooved 
ways, on each side of the frame B, and the arrangement is such that, when 
the top of the bed is in a horizontal position, the ends of the ways at the 
foot of the bed are about six inches higher than the ends at the head, 
thereby causing a strong tendency in the bed to roll in the latter direction : 
extension being caused by the weight of the patient's own body. 
Directions for use accompany each bed. 56 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 105. DR. HENRY S. HE WIT'S APPARATUS FOR 
FRACTURE OF THE FEMUR. 
[Extracted from Medical liecord, N. Y., 
July 18th, 1868.] 
' ' It consists of two light flat lateral 
bars of steel connected by a cross-bar 
below the sole of the foot. The ex- 
terior bar or splint extends from its 
angle with the cross-bar, six or eight 
inches below the foot, to the side of 
the chest opposite the nipple. Two 
flat bands of steel well padded secure 
it to the chest and body. The inner 
bar reaches nearly to the perineum, 
but does not impinge, and the floor of 
the splint is of flexible metal care- 
fully padded by a continuation of the 
bands which secure it to the limb and 
buckle in front. The two lateral bars 
opposite the thigh are fenestrated and 
nuts are inserted capable of sliding 
longitudinally, through which play 
the screws which can be used for 
the exact application of detached 
moulded metallic ' splints of coapta- 
tion.' Extension and counter-exten- 
sion are obtained by broad straps of 
adhesive plaster extending from the 
groin in front and nates behind, se- 
cured by additional bands encircling 
the body, meeting in a ring at the top 
of the shoulder, and continued by an 
elastic cord running over a pulley at 
the head of the bed, and supporting 
a weight heavy enough to meet the 
requirements of the particular case. 
Extension is effected and precisely 
regulated by plaster extending bands 
connected with a foot-piece to which 
the screw playing through a hole in 
the cross-bar is hooked by an elastic 
loop. The screws are moved by a 
detached key, which places them 
beyond the interference of the patient 
or his friends. The cross-bar is se- 
cured to an upright of wood at the 
foot of the bed, also by elastic straps, 
to prevent the upper border of the 
under portion of the splint pressing against the nates when the extending 
force is exerted." 
Fig. 105. 07 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
57 
Fig. 106. DR. BUCK'S APPARATUS FOR TREATING 
FRACTURE OF THE THIGH, BY HIS IM- 
PROVED METHOD. 
Fig. 106. 
Printed directions accompany the apparatus. 58 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 107. APPARATUS FOR GUNSHOT FRACTURES 
OF THE FEMUR. 
Fig. 107. 
The apparatus is composed of strong iron bars, bent as in the above 
drawing (Fig. 107), through which are passed two horizontal sliding 
rods, supporting two pieces of canvas, upon which the limb may be 
suspended. The perpendicular bars are furnished each with a clamp 
and thumb-screw, by means of which the bars may be made fast to the 
side-rails of an iron bedstead, or, in case of necessity, to the side of a 
stretcher. The clamps enable the surgeon to suspend the limb at any 
height from the bed, and to give to the canvas bottom any degree of 
inclination desirable. 
Fig. 108. DR. FREDERICK D. LENTE'S MODIFICATION 
OF THE NEW YORK HOSPITAL APPARATUS 
FOR THE TREATMENT OF FRACTURE 
OF THE THIGH. 
Fig. 108a. 
"This apparatus is a modification of the splint originated by Desault 
more than half a century ago, and altered by various surgeons from time 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
59 
to time, but especially by Dr. Physic, who introduced it into the Penn- 
sylvania Hospital; and by Dr. Gurdon Buck, who introduced it into the 
New York Hospital in 1837. 
"Desault proposed to make the tuberosity of the ischium the point 
d' appui of the counter-extending force. Dr. Physic extended the outside 
splint to the axilla, thus bringing the direction of the counter-extension 
more in a line with the axis of the limb, and almost the entire pressure 
on the groin. Adhesive plaster bands were first proposed by Drs. 
E. Wallace and J. Crosby, and adapted to the New York Hospital appa- 
ratus by Dr. Lente, when Resident Surgeon of the establishment, in 1849 
or '50. He reduced the outer splint again to its original length (to the 
crest of the ilium). 
"From the top of this splint passes, in a curved form, over the abdo- 
men to the median line, a steel brace, padded (A, Fig. 108a). To the end 
of this the pelvic band is buckled, and upon it slides a plate (P), fixed 
at any required point by a binding screw, to the bottom of which the 
perineal band is buckled, as seen in the engraving. The iron brace is 
attached to the splint by binding-screws, so that it may be shifted, and the 
splint thus adapted to either side of the body. The posterior portion of 
the perineal band passes under the thigh just below the tuberosity of the 
ischium, and is buttoned to the outer splint at a point about opposite 
the greater trochanter, or at such a point that, when extension is being 
made, the band shall exactly grasp the tuberosity, and not slip under it. 
After all the extension has been made, by means of the screw, that the 
patient can bear comfortably, the bands, being elastic, continue the exten- 
sion, and by a very gradual and imperceptible force-a force, however, 
most difficult to resist-tire out the contracted muscles of the thigh, and 
still further elongate the limb. A spiral spring has also been enclosed 
in the ferule terminating the screw to which the hook for the extending 
band is fastened. 
"Dr. Lente's remaining modification is a foot-piece (P, Fig. 108a), 
attached by a slide and thumb-screw to the mortise in the external splint, 
and capable of removal at pleasure. This is intended, first, to prevent a 
usual tendency to eversion of the foot; and secondly, by projecting a 
little beyond the toes, to take off the pressure of the bed-clothes." 
Application of the Apparatus. 
"Having laid the patient on a firm, unyielding mattress, covered, if you 
prefer, with one or two folded blankets, and measured the respective 
lengths of the sound and injured limbs, comparing the results of two 
or more measurements (from the anterior superior spinous process to the 
internal malleolus), shave the leg from the knee to the ankle, apply a 
strip of adhesive plaster, three inches broad, and well warmed, to both 
sides of the leg, from just below the knee, allowing them to extend 
some inches below the sole of the foot. These free ends are to be warmed 60 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarbe. 
and smoothly stuck to a thin block a trifle wider than the ankle-joint, 
through holes on either side of which a strong cord is to be passed, to 
be attached to the hook or ring terminating the screw. A roller bandage 
is now to be applied from the foot to the groin, taking care to make 
considerable pressure over the adhesive strips. The long splint, having 
been adjusted to the length of the limb, and its cushion secured to it, 
is to be placed along the outside of the limb, its top just reaching to the 
crest of the ilium ; then, having passed the pelvic band under the body, 
a guttered splint furnished with a thin cushion, long enough to extend 
from the tuberosity to the popliteal space, is to be passed under the thigh. 
Fig. 108b. 
At the same time the perineal band, previously buckled to the iron brace, 
is to be passed under the thigh, and adjusted in its proper place. The 
extending band is now to be secured to the screw, while an assistant 
is making moderate traction on the foot, and at the same time pushing up 
the long splint; the object of this being to tighten everything before 
commencing extension with the screw, every turn of which will then 
give an increase of tension. If, after this, the splint is found to have 
been forced up a little higher than the crista ilii, the perineal band must 
be buckled at either end a little tighter, in order to rectify this. The 
inside splint may now be applied, and the concavity between its cushion 
and the leg a little more than filled up with folds of old blanket, or some 
such elastic material; so that, when the splints come to be bound firmly 
together, the inner condyle of the femur may not be painfully pressed 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
61 
upon, a circumstance which causes great discomfort to the patient; a 
guttered splint a little longer than the posterior must now be placed on 
the anterior aspect of the thigh, and then all the splints with the enclosed 
limb are to be encircled with four strips of strong muslin or linen about 
an inch and a half wide, and long enough to pass twice around the splints 
and tie in a bow-knot, two of these for the thigh and two for the leg. 
The arrangement of these bands is of considerable importance, as it is 
thus that we are enabled to dispense with the old-fashioned splint-cloth, 
a very troublesome contrivance, and to keep the splints from tilting 
foiward without it. One end is to be passed under the limb, then around 
it in front, under again, and around in front, to be there tied to the other 
end. In doing this, it is seldom requisite to raise the limb sufficiently 
to disturb the patient. These bands are now to be loosely tied ; and, 
having made a degree of extension, by means of the screw, corresponding 
to the amount of shortening, the foot-piece is to be screwed on so as to 
be in apposition with the outer surface of the foot. The bands are now 
to be firmly tightened and tied; and, if care has been taken to keep the 
inner condyle from undue pressure, they may be tightened to any 
required degree without any inconvenience to the patient. Next, the 
wedge-shaped cushion is to be placed under the apparatus ; and, finally, 
the pelvic band is to be tightened as firmly as the patient can comfortably 
bear. A patient under treatment with this apparatus can attend to the 
calls of nature with very little inconvenience. He has only to raise his 
hips slightly with the aid of the leg and arm of the sound side, while the 
bed-pan is slipped under him without deranging the apparatus in any 
degree. The peculiar arrangement of the perineal band secures it from 
being soiled, as it is removed from the immediate vicinity of the anus." 
Fig. 109. DR. BURG-E'S APPARATUS FOR FRAC- 
TURES OF THE FEMUR. 
Fig. 109. 62 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 110. LISTON'S IMPROVEMENT OF McINTIRE'S 
SPLINT. 
Liston's Splint is partic- 
ularly applicable to the 
treatment of fractures of 
the condyles of the femur, 
and of the upper extremity 
of this bone attended with 
a disposition to displace- 
ment of the lower end of 
the upper fragment. It may 
also be advantageously em- 
ployed in compound frac- 
tures attended with severe contusion and laceration of the integuments, as 
it affords an easy and comfortable position to the injured limb. It is 
applied to the limb by attaching the foot to the foot-board and the limb 
to the splint by a roller bandage. The angle of flexion is regulated by 
the screw. The splint is made of galvanized iron. 
We have on hand also Inclined Plane Splints made of wood. 
Fig. 110. 
jor toOperate on fractured' jonep, gee w 
Catalogue, part |. 
Bone Forceps, see Figs. 31,39, 40, 41, 42, 43, 68, 69, 77, 79, 80, 81, 82. 
Bone Drills, Figs. 34, 35, 36, 50, 61. 
Pereosteotomes, Figs. 37, 38, 70, 71. 
Saws, Figs. 1, 2, 3, 9, 16, 51, 52, 53, 54, 55, 57, 58, 60, 65, 66, 67, 78. 
Trephines, 46, 47, 48, 49. 
Retractors, Figs. 62, 73, 74, 76. 
Mallet, Fig. 83. 
Chisels and Gouges, 84, 85, 86. 
For the above see Catalogue, Part I. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
63 
Fig. 111. DR. M. H. HENRY'S SHEARS, TO FACILI- 
TATE THE REMOVAL OF PLASTER OF PARIS 
DRESSING-S AND STARCH BANDAG-ES. 
Fig. 111. 
" The illustration conveys a clear idea of the form and features of the 
instrument. The upper blade is heavy, with clean incisive power. The 
lower blade is longest and blunt-pointed, and made in the form of an 
elevator, which enables the operator to insinuate that part under the 
dressings, and, if necessary, press on the soft parts beneath without doing 
any injury. He can then cut as easily through the plaster of Paris 
dressings as the tailor does heavy cloth with the ordinary shears. The 
handle is nearly at a right angle to facilitate movement, and adds to the 
cutting force." 
Apparatus for fracture of tl|e patella. 
The object of all apparatus for fracture of the patella is to counteract 
the action of the extensor muscles, which have a tendency to draw the 
superior fragment upwards, away from the lower. Some of the most 
efficient contrivances for keeping the fragments in coaptation are those 
sketched below. They are all simple, and will readily be understood by 
viewing the cuts Figs. 112 to 118. 64 
GUO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 112. DR. THOMAS TURNER'S APPARATUS FOR 
THE TREATMENT OF FRACTURE OF THE 
PATELLA. 
Described and used by Francis V. White, M. D 
(Extracted from the Medical Record, July 15, 1867.) 
"The apparatus consists of thigh and leg-pieces of sheet-iron, with two 
buckled straps attached to each, united by two lateral bars and one pos- 
terior bar of steel. To the posterior bar are two troughs (part of a circle), 
on a 'double reversed screw ; and, by turning the key in opposite direc- 
tions, the troughs separate or approach each other. The apparatus, being 
japanned, is always ready for new cases when cleaned. The apparatus 
should be applied in simple fractures as soon as possible ; but if, in the 
opinion of the surgeon, it would aggravate existing inflammation, thereby 
jeopardizing the joint, it could be applied as a posterior splint, without 
using the coapting appliances, until anti-phlogistic measures make it safe. 
The apparatus, to be applied properly, should be well padded with flannel 
or other material, for protecting 
thigh and leg from the splint 
and straps ; quadriceps femoris 
should be relaxed, the limb 
held by the thigh portion, and 
buckled; also buckle the leg por- 
tion. Use an anaesthetic if nec- 
essary. First fix the lower frag- 
ment, by drawing it up, smooth- 
ing the integuments down ; this 
being held by an assistant, the 
surgeon applies a strip of ad- 
hesive plaster, of sufficient width 
to hold the fragment, and over- 
laps it sufficiently to prevent 
any tilting up, passes the free 
ends of the adhesive plaster 
around the upper trough, crosses 
them and applies them to the 
skin. The upper fragment being coapted,the integuments being smoothed 
up, a similar piece of plaster is applied around the lower trough as around 
the lower fragment. Interpose something where the plasters cross each 
other, to prevent their sticking together. 
For firmness, use double strips of plaster. Snip the upper edge of the 
upper plaster, thus a rounded edge instead of a cutting edge will be pre- 
sented to the integuments, avoiding in a degree excoriation. The appa- 
ratus should remain applied thirty or forty days. When new dressings 
Fig. 112. G7 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
65 
are applied, the patella being held, cautious passive motion may be made. 
After the apparatus is permanently removed, the patient, to favor consoli- 
dation, should wear something to prevent too much use of the patella, 
say for four or six months, viz., an elastic knee-cap with a ring arrange- 
ment over the patella, or posteriorly a piece of gutta-percha or leather 
strapped above or below the joint, either of which being softened by warm 
water can be applied, and allow of a certain flexion. Passive motion can 
be occasionally made, but not extreme, under six months. 
Directions for Measurement. 
INCHES. 
1. Length from above the ankle to upper third of thigh, - " 
2. Right or left leg, ------- " 
3. Circumference of thigh, - - - - - - " 
4. Circumference of calf, " 
Fig. 113. LEWIS' APPARATUS FOR THE TREAT- 
MENT OF FRACTURE OF THE PATELLA. 
This apparatus consists of a broad pad, resting on the popliteus, to keep 
the knee extended, and a narrow pad, fitting the upper border of the 
patella. A strap connected with the latter one is first passed through a 
ring attached to the popliteal pad, then continued down 
the leg on each side, being finally buckled to a lined 
foot-pad. This makes the foot a fixed point for exten- 
sion, and the ring through which the strap passes gives 
it also a direction backwards, maintaining a firm hold 
of the upper fragment of the patella, whilst the lower 
fragment is readily kept in place by a strip of adhesive 
plaster. 
Fig. 113. 
Directions for Measurement. 
INCHES. 
1. Circumference above the knee, - - " 
2. Length from the sole of the foot to the 
knee," 66 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Figs. 114a, 114b. BOISNOT'S APPARATUS FOR THE 
TREATMENT OF FRACTURE OF THE PATELLA. 
Fig. 114a. 
Fig. 114b. 
This apparatus is adapted to the limb at 
an angle natural to it, and therefore con- 
sistent with coaptation of the fragments. 
The splint is concave, to suit the convexity 
of the limb. The semi-lunar pieces are of 
stout leather, doubled and crimped. The 
cords pass over pulleys to revolving trans- 
verse pieces, which are protected from slip- 
ping by spring and ratchet. The patient is 
not confined to bed. 
Fig. 115. HARTSHORN'S APPARATUS FOR THE 
TREATMENT OF FRACTURE OF THE 
PATELLA. 
Fig. 115. 
This apparatus consists of a light tin splint, 
fitting the posterior half of the limb. It is cov- 
ered with morocco and is made to lace or to 
buckle in front. The coapting appliances are 
a pair of strong webbings or straps, well 
padded in the middle, which are drawn 
across the fragments obliquely, and tight- 
ened by means of buckles or hooks. The 
application is very similar to that of Turner's 
Splint. 
Directions for Measurement. 
Tlie same as for Turner's Splint, Fig. 112. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
67 
Fig. 116. HAMILTON'S APPARATUS FOR THE 
TREATMENT OF FRACTURE OF THE 
PATELLA. 
[Extracted from Hamilton on Fractures and Dislocations.} 
Fig. 116. 
"The dressing which I have usually employed in the treatment of this 
fracture, consists of a single inclined plane, of sufficient length to support 
the thigh and leg, about six inches wider than the limb at the knee. This 
plane rises from a horizontal floor of the same length and breadth, and 
is supported at its distal end by an upright piece of board, which serves 
both to lift the plane and to support and steady the foot. The distal end 
of the inclined plane may be elevated from six to eighteen inches, accord- 
ing to the length of the limb and other circumstances. Upon either side, 
about four inches below the knee, is cut a deep notch. The foot-piece 
stands at right angles with the inclined plane, and not at right angles 
with the horizontal floor. It may be perforated with holes for the passage 
of tapes or bandages to secure the foot. Having covered the apparatus 
with a soft and thick cushion carefully adapted to all the irregularities 
of the thigh and leg, especial ('are being taken to fill the space under 
the knee, the whole limb is now laid upon it, and the foot gently secured 
to the foot-board, between which and the foot another cushion is placed. 
The body of the patient should also be flexed upon the thigh, so as the 
more effectually to relax the quadriceps femoris muscle. A compress 
made of folded cotton cloth, wide enough to cover the whole breadth of 
the knee, and long enough to extend from a point four inches above the 
patella to the tuberosity of the tibia, and one-quarter of an inch thick, 
is now placed on the front of and above the knee. While an assistant 
presses down the upper fragment of the patella, the surgeon proceeds 
to secure it in place with bands of adhesive plaster. Each band should 
be two or two and a half inches wide, and sufficiently long to enclose the 
limb and splint obliquely. The centre of the first band is laid upon the 
compress, partly above and partly upon the upper fragment, and its 
extremities are brought down so as to pass through the two notches on 68 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfabre. 
the side of the splint, and close upon each other underneath. The second 
band, imbricating the first, descends a little lower upon the patella, and is 
secured below in the same manner. The third, and so on successively 
until the whole of the compress and knee is covered, is carried more 
nearly at right angles around the leg and splint, the last band passing 
obliquely from below the ligamentum patella? upwards and backwards. 
The dressing is now completed by passing a cotton roller lightly around 
the whole length of the splint, commencing at the toes and ending at the 
groin." 
Fig. 117. TIEMANN & CO.'S KNEE-CAP FOR AFTER- 
TREATMENT OF A FRACTURED PATELLA. 
Authorities on surgery say that great care must be taken not to rupture 
the ligaments of the newly formed union, which so often happens after 
recovery of the patient from fractured patella. For the purpose of 
guarding against such a recurrence, we make the apparatus shown 
Fig. 117. It consists of a knee-cap made of buckskin or 
satin jean, which is adjustable to the knee by buckles or 
laces. It is provided with a pair of coaptation pads, to 
retain the newly united patella in place. These pads are 
arranged to approximate by drawing on laces, as shown in 
the upper border of the cap, represented Fig. 117. It affords 
the patient exercise of the knee-joint, the best guard against 
the danger of anchylosis, at the same time preventing any 
undue strain on the newly united upper fragment of the 
patella. 
Directions for Measurement. 
INCHES. 
1. Circumference above the knee, - - " 
2. Circumference of the knee, - - " 
3. Circumference below the knee, - - " 
Fig. 117. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
69 
Fig. 118. STEEL SPRING- AND RUBBER CUP 
FOR THE TREATMENT OF FRACTURED 
PATELLA. 
Fig. 118. 
iipntal for tl[e treatment of feotao of tl|o fi.bia 
and fibula. 
Fig. 119. HODG-EN'S APPARATUS FOR COMPLICA- 
TED FRACTURES OF THE LOWER 
EXTREMITIES. 
Fig. 119. 
This apparatus consists of a wooden frame, formed of four square bars 
of the length of the lower extremity. These bars are united by a crescent- 
shaped piece of wood situated at the back of the knee, and by a foot-board 
below, two on either side of the leg. The lower two serve the purpose of 
holding together, and giving the apparatus an inclined plane ; the upper 
bars serve as points of attachment for a number of linen straps or rollers 
to suspend the limb. They are placed side by side and fastened with pins, 
and constitute a perfect bed, having the advantage of adapting themselves 
to the differences in the conformation of the limb. The foot is retained to 
the foot-board by long adhesive pl aster strips being passed around the 
foot-board and carried upwards and secured to both sides of the leg with 70 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edward Pfabre. 
roller bandage, leaving a sort of loop beneath the foot-board, through 
which a rope is passed and attached to a little bag weighted with sand, for 
the purpose of keeping up extension. Counter-extension is made by a 
perineal band, the end of which is secured to the head of the bed. A long- 
cross-bar under the foot-board, resting on the bed, prevents the apparatus 
from tilting. Bricks may be placed under the inferior legs of the bed, to 
give the apparatus an inclination towards the pelvis. One of the advan- 
tages of this instrument is that each of the bands of linen may be removed 
separately, any wound dressed and the band reapplied without displacing 
the others. 
Fig. 120. NATHAN R. SMITH'S ANTERIOR SPLINT 
FOR THE TREATMENT OF G-UNSHOT FRAC- 
TURES OF THE LOWER EXTREMITIES. 
Fig. 120. 
We make to order all other Suspending Apparatus, and Salter's 
Cradle. 
Also Carved Wooden Splints for the leg and ankle. 
Lining Splints, made of thin boards of wood held together by a sheep- 
skin lining. 
Bauer's Wire Splints, a frame made of iron wire covered with gauze. 
See also Fig. 102. 
Fig. 121. RAPHAEL'S MODIFICATION of POTT'S SPLINT. 
Fig. 121. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 2Rth St., N. Y. 
71 
jjandage for tl|e treatment of |lracture of tf|® jow jyjaxillary. 
Fig. 122. HAMILTON'S. 
Fig. 122. 
A firm leather strap passes under the chin, 
and is buckled over the top of the head. It is 
stayed by two counter-straps of linen webbing. 
One of these is looped upon the maxillary 
strap at a point just above the ears, and may 
be elevated or depressed to fit different heads. 
This strap is buckled under the occiput pos- 
teriorly, and across the forehead anteriorly. 
A vertical strap passing over the top of the 
head in the line of the sagittal suture, unites 
the maxillary and the occipital strap. To 
prevent the maxillary strap being displaced 
backward, a chin- piece is fastened to it. 
Apparatus for patent of fracture?1 of ill® {[lavicle. 
Fig. 123. LEVIS' APPARATUS FOR THE TREATMENT 
OF FRACTURE OF THE CLAVICLE. 
Fig. 123. 
(A) is a wedge-shaped pad for the axilla, 
which is put in place thick side up. Two 
straps fastened to this pad pass directly 
upwards, and buckle to the broad support- 
ing band on the accroniion of the afflicted 
arm. This band is then passed across the 
back and over the shoulder of the sound 
side, and terminates in front of the chest (A7). 
A sling to support the arm, elbow flexed, 
is buckled to the broad band. A strap (I)) 
is attached to the back of the sling a short 
distance above the elbow, and passed 
obliquely across the back and buckled to 72 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
the supporting band in front. The extra buckle comes in play when 
the apparatus is to be reversed, in using it for the other side. The 
shoulder is kept out by the wedge, up by the sling, and back by the 
strap (D). 
These apparatus are made of four sizes: two sizes for adults, two sizes 
for children. 
FOX'S CLAVICLE BANDAGE 
Is very similar, in principle, to the one described above. 
Fig. 124. RICHARDSON'S SPLINT FOR FRACTURES 
OF THE CLAVICLE, SCAPULA AND HUMERUS. 
"It is composed of three parts, and has 
three points of attachment, viz., to the side, 
axilla, and arm. 
"The arm and body pieces are semi- 
cylindrical in shape, made of hard rubber, 
and fastened together by means of rivets, 
with sufficient space left between them to 
allow the passage of straps of adhesive 
plaster. The crescentic pad is received as a 
crutch in the axilla. 
" For fracture of the clavicle, the crutch is 
crowded firmly in the axilla, and the arm- 
piece secured to the arm by circles of 
adhesive straps; the shoulder is then raised, and the arm carried back- 
wards until the fragments are brought into position, when the body-splint 
and crutch are secured alike by straps of plaster. If thought desirable, 
one strap may be passed over the opposite shoulder. 
"For fracture of the scapula, the arm is carried forward instead of 
backward, before the splint is secured to the side. 
" For fracture of the humerus, the arm is secured in its most natural 
and easy position. In all other respects the splint is adjusted the same 
as for fracture of either of the above-mentioned bones. 
"After the splint has been applied, the arm may or not be flexed at a 
right angle on the chest, and supported by a sling from the neck.'' 
Four sizes of this splint are made : two for adults, and two for children. 
Fig. 124. G7 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
73 
Figs. 125, 126 and 127. A SIMPLE DRESSING FOR 
FRACTURE OF THE CLAVICLE, BY 
LEWIS A. SAYRE, M. D. 
(Extracted from the American Practitioner for July, 1871.) 
''After drawing the arm backward and retaining it there by a strip of 
adhesive plaster, pass another piece of plaster from the well shoulder 
across the back, and by pressing the elbow well forward and inward 
the first plaster around the middle of " 
the arm is made to act as a fulcrum, 
and the shoulder is necessarily carried 
upward, outward, and backward ; and the 
plaster, being carried over the elbow and 
fore-arm (which is flexed across the chest) 
to the opposite shoulder, the place of start- 
ing, and then secured by pins or stitches, 
permanently retains the parts in position. 
Strong and good adhesive plaster (Maw's 
moleskin is the best) is cut into two strips, 
three to four inches wide (narrower for 
children); one piece long enough to sur- 
round the arm and go completely around 
the body, the other to reach from the 
sound shoulder around the elbow of the 
fractured side and back to the place of 
starting. The first piece is passed around 
the arm just below the axillary margin, and pinned or stitched in the 
form of a loop sufficiently large to pre- 
vent strangulation, leaving a portion on 
the back of the arm uncased by the 
plaster. The arm is then drawn down- 
ward and backward until the clavicular 
portion of the pectoralis major muscle 
is put sufficiently on the stretch to over- 
come the sterno-cleido-mastoid, and thus 
pull the inner portion of the clavicle 
down to its level. The plaster is then 
carried smoothly and completely around 
the body, and pinned to itself on the 
back to prevent slipping, as seen in 
Fig. 125. This first strip of plaster fulfills 
a double purpose : first, by putting the 
clavicular portion of the pectoralis ma- 
jor muscle on the stretch, it prevents the 
clavicle from riding upward ; and, sec- 
Fig. 125. 
Sayre's first bandage for Fractured 
Clavicle. Back view. 
Fig. 126. 
Sayre's scond bandage for Fractured 
Clavicle. Back view. 74 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
» ■ - - 
ondly, acting as a fulcrum at the center of the arm, when the elbow is pressed 
downward, forward, and inward, it necessarily forces the other extremity 
of the humerus (and with it the shoulder) upward, outward, and backward ; 
and it is kept in this position by the second strip of plaster, which is 
applied as follows : commencing on the front of the shoulder of the sound 
side, drawing it smoothly and diagonally across the back to the elbow of 
the fractured side, where a slit is made in its middle to receive the pro- 
jecting olecranon. Before applying this plaster to the elbow an assistant 
should press the elbow well forward and inward (figure 126), and retain it 
there, while the plaster is continued over the 
elbow and fore-arm (pressing the latter close 
to the chest, and securing the hand near 
the opposite nipple) ; crossing the shoulder 
at the'place of beginning, it is there secured 
by two or three pins, as seen in figures 126 
and 127. 
When this has been done the deformity 
will have entirely disappeared, the frac- 
tured bones will be accurately adjusted, 
and as long as the strips of plaster main- 
tain their position no amount of force can 
displace them. I have repeatedly tested 
this fact before my class by seizing the pa- 
tient by the arm of the fractured side and 
whirling him like a top on his feet, without 
ever causing the slightest displacement or 
giving the slightest pain. By this plan of treatment the patient is only 
detained from his daily avocation a sufficient length of time to properly 
adjust the strips of adhesive plaster." 
Fig. 127. 
Sayre's Dressing for Fractured Clavicle 
Front view. 
Fig. 128. DR. HENRY S. HEWIT'S SPLINT FOR 
COLLES' FRACTURE. 
Fig. 128. 
This splint is designed, 
in addition to its function 
as a retentive splint, to 
promote passive motion in 
the fingers and wrist-joint, 
as well as to give support 
to the hand. It accom- 
plishes these objects, as 
will be seen by the cut, by 
means of the rod which is 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
75 
connected with the ball grasped by the hand which is joined to the 
sliding-bar on the face of the splint by ball and socket joint. This 
joint enables the hand to make limited motions of flexion and extension, 
and also of promotion and snppination. The natural tendency to relax 
and contract the fingers promotes this intention. 
Fig. 129. DR. GEO. F. SHRADY'S SPLINT FOR 
COLLES' FRACTURE. 
This apparatus was devised by Dr. Shrady for the purpose of correct- 
ing extreme deformity in cases of Colles' fracture of the radius. It is 
calculated to keep the hand in the double rela- 
tion to the forearm of flexion, and of deflection 
towards the ulnar margin. 
Some of these splints are made with a short 
hand-piece adapting itself to the palm proper, 
or with a long hand-piece extending from the 
wrist to the tips of the fingers. For the employment of either of these 
forms the surgeon must of course be governed by the peculiar indications 
of the case. We also make the splints with adjustable flexion and de- 
flexion. 
The fragments being placed as near as possible in apposition by flexing 
the wrist and deflecting the hand, the splint is applied to the palmar sur- 
face of the forearm. By means of a strip of adhesive plaster three inches 
in width, which is made to form a sort of lateral sling or loop for the 
ulnar portion of the wrist, the tendency to lateral displacement of the 
ulna is in a great measure overcome. This loop, as seen in the cut, 
embraces the wrist and splints (the usual dorsal splint being always 
used). The ulnar margin of the wrist is thus 
in a sling formed by the splints and the 
plaster, the radial margin of the wrist being 
free. 
The ulnar margin of the wrist is thus made a 
very efficient fulcrum. 
In cases of extreme lateral displacement, a 
suitable margin of wood is tacked to the ulnar 
margin of the palmar splint to give additional 
purchase. 
Fig. 129. 
a a.-Splints. 
b b b.- Plaster. 
c c c.-Wrist. . 
d.-Radial margin of wrist. 76 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
The splints are kept parallel to each other by suitable strips of plaster, 
and the hand, by the same means, is secured to the hand-piece. The 
radius and ulnar are kept in their proper relations to each other by the 
usual precaution of directing the palmar surface of the forearm and hand 
upwards and inwards looking towards the face, the whole apparatus being 
suspended at a right angle with the arm by a sling. 
In order to prevent undue stiffness of the wrist and fingers by too long- 
confinement, Dr. Shrady advises that passive motion be resorted to early, 
and persisted in every two or three days. This is done, without disturb- 
ing the fragments, by grasping the apparatus firmly at the wrist and 
freeing the hand. 
jjiscelhneiw 
DOUBLE INCLINED PLANES OF WOOD. See Fig. 116. 
Fig. 130. HODG-EN'S SUSPENDING- APPARATUS. 
Fig. 130. 
This is a modification of 
Nathan R. Smith's Anterior 
Splint. 
See Fig. 102. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
77 
We have on hand Carved Wooden Splints made to fit the legs, arms, 
and hands. Hamstring Splints for fracture of the patella, in sets or by the 
pair oi* piece. Elbow Splints, plain and jointed. Bond's Splints, Frac- 
ture Boxes, Gutta Percha and Hatters' Board, for splinting. Detmold's 
Suspension Splints. Cane Splints, united with copper wire. And make 
to order any other Fracture Apparatus desired. 
APPARATUS FOR REDUCING DISLOCATIONS AND 
FOR EXTENSION AND COUNTER-EXTENSION. 
Fig. 132. 
Fig. 131. 
Fig. 133. 
Figs. 131,132, 133. Dislocation Pulleys made of brass, with three rollers, 
a strong steel hook, and sufficient cord. 78 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
Fig. 134. LEVIS' SPLINT FOR REDUCING DISLOCA- 
TION OF THE PHALANGES. 
Fig. 134. 
Fig. 135. 
To apply this instrument: The finger is passed through the loops, and, 
by drawing on the tapes and then winding them around the projecting 
stem in opposite directions, and finally tying them together, a firm grip is 
obtained. This enables the operator to apply both extension and flexion, 
or leverage in any direction. The proximal end of the phalanx may be 
lifted, or even rotated, so as to allow one side of the bone to approach the 
socket before the other. It is a simple and cheap instrument, but one that 
every surgeon ought to possess. Fig. 185 represents it applied. 
Fig. 136. LITER'S FORCEPS FOR LUXATION OF 
FING-ERS OR TOES. 
Fig. 136. 
This instrument is made in the shape of a pair of forceps, the strong 
jaws of which, in place of being concaved, are bifurcated, and carry be- 
tween their rods straps of strong webbing, doubled and drawn over them ; 
A, the spaces, being filled up by slices of cork or india rubber. This con- 
struction and the length of the arms of the lever, exercise sufficient power 
to seize and hold the luxated member without contusing the soft parts. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
79 
Fig. 137. CHARRIERE'S LUXATION FORCEPS. 
Fig. 137. 
This pair of forceps is jointed like a compass. The jaws consist of 
forks of two steins each, equidistant, to which four leather straps are 
fastened, intercrossing each other in such a manner as to form a double 
floating knot, A, that opens or shuts as the handles of the forceps are 
approached or separated. The action of this double knot is regulated by 
a screw and two nuts, C B, enabling the operator to diminish, augment, or 
fix the amount of pressure at will. 
Fig. 138. STANCHION FOR COUNTER-EXTENSION 
IN THE APPLICATION OF PLASTER PARIS 
DRESSINGS. 
(Extracted from The Principles and Practice of Surgery, by F. H. Hamilton.) 
FlG 138 
"The following is the usual mode of applying this dress- 
ing at Bellevue: The patient is placed with his nates over- 
hanging one corner of a table, or with his body, shoulders 
and head resting upon a mattress elevated by blankets 
about one foot from the table, but terminating about two 
feet from its lower end. The perinaeum is pressed against 
an iron stanchion, which is firmly screwed upon the lower 
end of the table, and wound with heavy flannel cloth. The 
nates are then suspended by a sling which passes under the 
small of the back, and which is supported by a wooden bar 
projecting horizontally from the top of the stanchion to 
some point of support of equal elevation beyond the head. 
Compound pulleys are now attached to the foot, and the 
exhibition of the anaesthetic commenced. In some cases, 
as is represented in Fig. 139, a plaster-of-Paris bandage is 
first applied to the foot and lower portion of the leg, an 
hour or two before the fracture is reduced, and when this 
has become hard, the extension is applied. The patient 
being fully under the influence of the anaesthetic, traction 
is made upon the pulleys until the shortening is supposed 
to be overcome and the fracture reduced. The direction of 80 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfarre. 
the extension must be in the line of the axis of the body, it having been 
observed that when the plaster is applied with the limb abducted, too much 
pressure is brought upon 
the perimeum when the 
limb is again dropped into 
line ; and if the limb is ad- 
ducted when the plaster is 
applied, the dressing will 
be too loose about the groin* 
in the straight position. 
The bandages, saturated 
with plaster, are applied 
over the whole limb, from 
below upwards, including 
the pelvis. Occasionally 
the successive turns of the 
roller are re-enforced by 
broad pieces of flannel or. 
of patent lint, dipped in 
therfluid plaster. The number and thickness of the successive layers must 
be determined by the apparent necessities of the case, generally four or 
five layers of roller being required, at least upon the thigh. I have 
omitted to state that excoriations caused by the dressings have been 
noticed most frequently in the groin and gluteal fold ; this may, however, 
be avoided by placing a heavy piece of dry flannel over these parts pre- 
vious to the application of the plaster. The dressing being completed, the 
extension is continued fifteen or twenty minutes until the plaster has be- 
come hard. 
Fig. 139. 
Fig. 140. 
"Iii case the plaster was not applied to the foot and lower portion of 
the leg prior to the dressing of the fracture, this may now be done ; or the 
patient may be laid in bed and permitted to recover from the influence of 
the anaesthetic before completing the dressing. On the second or third 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
81 
day, after the reduction of the fracture, most of our patients have been per- 
mitted to go about on crutches ; a practice which, although it seems to be 
attended with certain hazards, possesses at least this advantage, that it en- 
ables the patient to preserve his general health. It is not improbable, also, 
that it prevents that atrophy and shrinkage of the limb which would 
otherwise ensue, and which, when it occurs, renders it necessary to open 
and re-adjust the dressings." 
♦ 
Fig. 141. 
We have for sale Crutches of all kinds, with Elastic Arm- 
pieces and Rubber Bottoms, made of Lancewood, Maple and 
Hickory. Also, Plain Crutches for adults and children. See 
specified Price List. 
Also, STRAIGHT JACKETS of Canvas, with Locks to 
confine Insane persons. 
Fig. 142. FOLDING- LITTER FOR CARRYING- 
WOUNDED PERSONS. 
Fig. 142. 82 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edward Pfarre. 
Fig. 143. ROLLER BANDAG-E OF COTTON CLOTH. 
Fig. 143. 
And Adhesive Plaster, Moleskin Plaster, spread on heavy flannel, and 
Adhesive Plaster, spread on twilled goods; also, plain Adhesive 
Plaster. See specified Price List. 
In these pages we have enumerated and described some of the most 
useful apparatus in common use in America and Europe. There ar*1 
many other appliances resorted to in hospitals and private practice, which 
we shall be happy to furnish on application. New devices are carried 
. out according to the views of surgeons favoring us with their orders ; and 
we shall endeavor to have on hand as soon as published patterns of the 
best apparatus originating abroad. 
|n4 ol f art j|. 67 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
83 
Specif ted fricc X iut. 
APPARATUS FOR THE TREATMENT OF DISTOR- 
TIONS AND DEBILITIES OF THE TRUNK. 
Figs. 1 to 50. 
Shoulder Bruces and Spinal Braces. Figs. 1 to 15. 
Fig. 
1. Elastic Shoulder Brace, for Gentlemen and Ladies, $2.00 to $3.50 
2. Elastic Shoulder Brace, for Gentlemen, - - 2.00 to 3.50 
3. Steel-back Shoulder Brace, - - - 4.00 to 5.00 
4. (5, 6) Tiemann & Co.'s Brace for Potts' Curvature of 
the Spine, - - - - - - 35.00 
7. (8) Tiemann & Co.'s Brace for Lateral Curvature of 
the Spine, . - - - - - 35.00 
9. (10) Washburn's Spine Brace, - - - 15.00 to 20.00 
11. (12) Markoe's Torticollis Brace, - - - 35.00 to 45.00 
13. Tiemann & Co.'s Wry Neck Brace, - - - 5.00 
4. Davis' Apparatus for Caries of the Spine, ' - 20.00 
15. (16) Taylor's Apparatus for Caries of the Spine, - 24.00 
Abdominal Supporters and Trusses. Figs. 17 to 4-5. 
17. Umbilical Bandage, - - - - - $6.00 to $8.00 
18. Chase's Umbilical Truss, hard pad, - - 4.00 
19. Bow-spring Umbilical Truss, soft or hard pad, - 4.00 
20. Bow-spring Umbilical Truss, for children. - 1.50 to 3.00 
21. Children's Umbilical Truss, crescent spring, soft or 
hard pads, - - - - - - 1.50 to- 3.00 
Children's Umbilical Bandages, - - - 2.00 to 3.00 
22. Bow Truss, right or left, hard pad, - - - 3.50 
23. Ratchet Truss, hard or soft pad, - - - 4.50 
24. Best French Truss, right or left, soft pad, - - 2.50 to 4.00 
25. Best French Double Truss, - - - 6.00 
26. Chase's Truss, cedar pad, - - - - 3.50 
27. French Adjustable Truss, soft pad, - - 4.50 84 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. Edward Pfabbe. 
Fig. 
28. German Truss, soft pad, single, - - - $2.50 
German Truss, soft pad, - - - 4.50 
29. Best Common Double Truss, soft pads, - - 4.00 
30. Hull's Truss, soft pad, - • - - - 2.00 
31. Self-adjusting or Ball and Socket Truss, single, - 3.00 
32. Self-adjusting or Ball and Socket Truss, double, 6.00 
33. French Adjustable Double Truss, soft pads, - - 6.00 
34. Tiemann & Co.'s Finger-pad Truss, - - 5.00 
35. Folsom's New Truss, ----- 20.00 
36. Schuppert's Galvanic Truss, - - - 15.00 to 25.00 
37. Bow-spring Abdominal Supporter, - - - 4.00 
38. Fitch's Abdominal Supporter, - - - 4.00 
39. Eugenie Abdominal Supporter, - - - 6.00 
40. London Abdominal Supporter, - - - 4.00 
41. Abdominal Bandage, - - . - - - 4.00 
42. Noeggerath's Abdominal Supporter, - - 6.00 
43. Thomas' Abdominal Supporter, - - - 8.00 
Thomas' Abdominal Supporter, cedar pad, - 2.50 
44. Silk Elastic Abdominal Belt, - - - - 12.00 
Cotton Elastic Abdominal Belt, - - - 8.00 
Braun's Abdominal Supporters, - - - 6.00 
Phelps' Abdominal Supporter, - - - 5.00 
Duga's Abdominal Supporter, - - - 5.00 
Boston Abdominal Supporter, - - - 4.00 
Riding Belts, with stays, lined with chamois, - 5.00 
Canvas Abdominal Belts, - - - - 4.00 
Satin-jean Abdominal Belt, - - - - 4.00 
45. Prolapsus Ani and Pile Supporter, - - - 8.00 
Suspensory Bandages. Fig. g.6. 
46. Miliano's Compressor for Varicocele, etc., - 2.00 
Cotton Suspensory Bandage, - - - - . 50 to . 75 
Linen Suspensory Bandage, - - - . 75 to 1.25 
Silk Suspensory Bandage, - - - - 1.50 to 5.00 
Elastic Suspensory Bandages, - - - 2.00 to 5.00 
Urinals for Incontinence of Urine. Figs, g'7 to 50. 
47. Tiemann & Co.'s Instrument for Extrophy of the 
Bladder, --.--- 25.00 to 75.00 
48. India Rubber Urinal, male, plain, - - - 2.50 
The same, male, best, ----- 4. oo 
49. India Rubber Urinal, male or female, - - 4.50 to 9.00 
50. India Rubber Urinal, male, - - - - 2.50 to 5.00 67 CHATHAM STREET, NEW YORK. 
Bbanch Stobe, 107 East 28th St., N. Y. 
85 
APPARATUS FOR THE TREATMENT OF DEFORMI- 
TIES, DEBILITIES AND DEFICIENCIES OF THE 
UPPER EXTREMITIES. Figs. 51 to 56. 
Fig. 
51. Pfarre's Apparatus for Ununited Fracture or Resec- 
tion of the Humerus, - $35.00 to $70.00 
52. Prince's Substitute for the Hand, - - - 40.00 to 60.00 
53. Apparatus for Anchylosis of the Elbow-joint, - 18.00 
54. Tiemann & Co.'s Glove for Paralysis of the Extensors 
of the Hand and Fingers, • - - - 20.00 to 30.00 
55. Apparatus to prevent Dislocation of the Shoulder 
Joint, - - - - - - - 6.00 to 9.00 
56. Cooper's Apparatus for Dislocated Clavicle, - 5.00 
APPARATUS FOR THE TREATMENT OF DEFORMI- 
TIES, DEBILITIES AND DEFICIENCIES OF THE 
LOWER EXTREMITIES. Figs. 57 to 80. 
Of" SHOES ARE CHARGED EXTRA ! 
57. Extension for a Short Leg, .... $9.00 
58. Extension for a Short Leg and Ankle Brace, - 18.00 
59. Bigg's Extension for a Short Leg, - - - 35.00 
60. Weak Ankle Brace, - - - - $8.00 to 10.00 
61. (62) Weak Ankle and Tendo Achillis Brace, - 8.00 to 10.50 
63. Tiemann & Co.'s Clubfoot Shoe, each, - - 10.00 to 14.00 
64. Sayre's Clubfoot Shoe, - . - - - - 10.00 to 14.00 
67. Apparatus for Talipe's Calcaneus, - - - 10.00 to 12.00 
68. Apparatus for Talipe's Calcaneus, - - - 10.00 to 12.00 
69. Apparatus for the Support of Weak Legs, - 25.00 to 35.00 
70. Apparatus for Partial Paralysis of the Leg and Thigh, 12.00 to 25.00 
71. Apparatus for Hemiplegia, - - - - 30.00 to 40.00 
72. Apparatus for Paraplegia, - - - - 35.00 to 70.00 
73. Bow-leg Braces, pair, ----- 25.00 to 30.00 
74. Genu-valgum, or Knock-knee Brace, - - 30.00 to 40.00 
75. Brace for Correcting Anterior Curvature of the Tibia, 12.00 to 15.00 
76. Barwell's Artificial Muscles and Attachments : 
Eyes or Hooks, each, - .10 
Tin Plates, with Loops, each, - - .20 
Rubber Tubing, for muscles, per foot, - - .12 
77. Apparatus to evert the Feet, - - - 5.00 to 10.00 
Steel Soles for the relief of Flat Feet, each, - - 2.50 
78. Bigg's Apparatus for Bunions, - - - 8.00 to 12.00 
79. Apparatus for Overriding, or Hammer Toes, - - 7.00 to 15.00 
80. Apparatus for Ununited Fracture, or False Joints, in 
the Leg or Thigh, - - - - - 25.00 to 75.00 86 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. • Edward Pfarre. 
APPARATUS FOR THE TREATMENT OF JOINT 
DISEASES. 
Apparatus for Hip-Joint Disease. Figs. 81 to 89. 
Fig. 
81. Davis' Hip-joint Splint, .... .$15.00 
82. Sayre's Hip-joint Splint, - 15.00 
84. Hamilton's Wire-gauze Splint, - - - 15.00 
85. Bauer's Hip-joint Splint, .... 25.00 
86. Bauer's Wire Breeches, - $15.00 to 18.00 
87. Taylor's Hip-joint Splint, .... 25.00 
88. Washburn's Hip-joint Splint, - - 7.00 
89. Hutchinson's Hip-joint Apparatus, - - - $25.00 to 38.00 
Apparatus for the Knee and Ankle-Joint. Figs. 90 to 98. 
90. Apparatus for overcoming Muscular Contraction of 
the Knee-joint and for Anchylosis, - - - $35.00 to $40.00 
91. Short Anchylosis Apparatus for the Knee-joint, - 25.00 to 30.00 
92. Anchylosis Apparatus, with a Screw for the Knee-joint, 18.00 to 22.00 
93 (94, 95, 96, 97). Sayre's Apparatus for Extension of the 
Knee-joint, - - - - - - 20.00 
98 (99,100). Sayre's Apparatus for Extension of the Ankle- 
joint, 22.00 
Boisnot's Apparatus for Extension of the Ankle-joint, 18.00 
Elastic Silk and Cotton Hose. Fig. 101. 
Silk Elastic Leg and Thigh Hose'to H, best, each, - - - $11.00 
Silk Elastic Knee Hose to G, best, each, - - - - 8.00 
Silk Elastic three-quarter Hose to D, best, each, - - - 4.50 
Fine Silk Elastic Knee Hose to G, each, - - - - 6.00 
Fine Silk Elastic three-quarter Hose to D, each, - - - 3.50 
Cotton Elastic Leg and Thigh Hose to H, each, - - - 5.50 
Cotton Elastic Knee Hose to G, each, - - - - - 3.50 
Cotton Elastic three-quarter Hose to D, each, - - - 2.00 
Knee-cap Best Silk Elastic, each, - - - - - 3.50 
Knee-cap Fine Silk Elastic, each, - - - - - 3.00 
Knee-cap Cotton Elastic, each, - - - - - 1.75 
Anklets, each, - - - - - - $1.75 to 3.00 
Wristlets and Armlets made to order. 07 CHATHAM STREET, NEW YORK. 
Branch Store, 107 East 28th St., N. Y. 
87 
FRACTURE APPARATUS. 
Apparatus for Fracture of the Femur. Figs. 102 to 110. 
Fig. 
102. Nathan R. Smith's Anterior Splint, - $3.00 
103a, b. Byrd's Wire Gauze Suspending Apparatus, - - 5.00 
104. Skinner's Fracture Bed, ------ 25.00 
105. Hewitt's Apparatus for Fracture of the Femur, - - 40.00 
106. Buck's Apparatus, ------ 10.00 
107. Apparatus for Gunshot Fractures of the Femur, - $10.00 to 25.00 
108. Lente's Hospital Splint, - - - - - - 18.00 
109. Burge's Apparatus, ------ 50.00 
110. Liston's McIntire's Splint, - 16.00 
Apparatus for Ununited Fracture, see Fig. 80. 
For Bone Instruments, Drills, Scrapers, Sequestrum Forceps, Trephines, 
Saws, etc., see Part I. of our Catalogue. 
111. Henry's Starch Bandage Shears, - - $5.00 to 7.50 
Apparatus for the Treatment of Fracture of the Patella. 
Figs. 112 to 118. 
9 
112. Turner's Apparatus, - - - . - - - $12.00 
113. Lewis' Apparatus, ------ (T. 00 
114a, b. Boisnot's Apparatus, - - ' - - $8.00 to 12.00 
115. Hartshorn's Apparatus, - - - - - 7.00 
116. Hamilton's Apparatus, - - - - $8.00 to 10.00 
117. Tiemann & Co.'s Knee-Cap for after treatment, - - 5.50 
118. Rubber Cup and Steel Spring, ----- 6.00 
Apparatus for the Treatment of Fracture of the Tibia 
and Fibula. Figs. 119 to 121. 
119. Hodgen's Apparatus, - - - - - - $6.00 
120. Nathan R. Smith's Anterior Splint, - - - - 3.00 
Salter's Cradle, - - - - - - - 20.00 
Carved Wooden Splints for the Leg and Ankle, - - 2.50 
Lining Splints, per pair, - - - - - . 50 to . 75 
Bauer's Wire Splints, 3.00 
121. Raphael's Pott's Splint, --.--- 5.00 
122. Hamilton's Bandage for Fracture of the Lower Maxillary, - 5.00 88 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
F. A. Stohlmann. Edward Pfarre. 
Apparatus for the Treatment of Fractures of the Clavicle. 
Fig. Figs. 123 to 127. 
123. Levi's Clavicle Bandage, - - - - - - $5.00 
124. Richardson's Splint for Fracture of the Clavicle, etc., - 6.00 
Wooden Yokes for Fracture of the Clavicle, - - - 3.50 
125. 126, 127. Sayre's Dressings for Fractured Clavicle, - 
Boisnot's Clavicle Bandage, - - - - - 5.00 
Apparatus for Colle's Fracture. 
128. Hewit's Splint for Colle's Fracture, - $7.00 
129. Shrady's Splint for Colle's Fracture, - - . 2.00 
MISCELLANEOUS SPLINTS, of which there are no cuts. 
Double Inclined Planes of Wood, - - $7.00, $8.00, $9.00. 
130. Hodgen's Suspending Apparatus, - - - - -5.00 
Lining Splints, Sets of 20, - - - - - 5.00 
Carved Wooden Splints for the Leg and Ankle, - - 2.50 
Gutta Percha for Splints, per lb., - - - - 3.00 
Hatter's Board for Splints, per yard, - - 3.00 
Carved Wooden Arm- and Hand-Splints, - - - 1.50 
Splints for the Forearm, Fracture of Radins, - - 1.50 
Elbow Splints, wood, plain, - - - - - 1.50 
Elbow Splints, wood, jointed, - - - - 2.5o 
Bond's Splints, - - - - - - -2.50 
APPARATUS FOR REDUCING- DISLOCATIONS. 
131,132,133. Dislocation Pulleys and Cord, per pair, - - $7.00 
134 (135). Levi's Splint for Reducing Dislocation of the Phalanges, 1.50 
136. Luer's Forceps for Reducing Dislocation of the Phalanges, - 8.00 
137. Charrierre's Luxation Forceps, - - . - 9.00 
138,139,140. Stanchion for Counter-extension, - $5.00 to 10.00 
CRUTCHES. 
141. Whittemore's Patent, Lancewood, rubber bottoms, per pair, - 12.00 
Whittemore's Patent, Maple wood, rubber bottoms, per pair, 11.00 
Plain Maple Crutches, per pair, - - - - - 7.00 
Plain Hickory Crutches, per pair, - - - - 4.00 
Hickory Crutches, rubber bottoms, per pair, - - - 5.00 
Children's Crutches, plain, per pair, - - - $3.00 to 5.00 
142. Litters, made to order, all kinds, various prices. 
143. Roller Bandage of Cotton Cloth, per lb., - - 1.25 
Moleskin Adhesive Plaster, per yard, - - - 2.25 
Adhesive Plaster, plain, per yard, - - - - 1.00 
Adhesive Plaster, on twilled goods, per yard, - - 1.25