y locally liniments, lotions, iodine, and hot applications;
confine the patient in bed and strap his hips down immovably, thus
preventing all exercise; then they attach that cruel instrument of
torture, the weight and pulley, to the diseased limb.

After many years of practical experience in the treatment of hundreds of
cases, we have developed a system of treatment for this terrible malady
which is based upon common sense. Instead of depleting, we, by proper
constitutional treatment, strengthen and fortify the system. We do not
confine the patient in bed, but permit him to go around and take all
necessary exercise. We adjust an ingeniously devised and perfectly
fitting appliance or apparatus, by which a gentle extension of the limb
is maintained, thereby relieving the tension of the muscles, and
preventing the friction and wearing of the inflamed surfaces of the
joint, which, without the use of our new and improved appliance, are a
source of constant irritation. The appliances required in the successful
treatment of this disease are numerous and varied in their construction,
and require skill and experience on the part of the surgical mechanic as
well as on the part of the surgeon, to take accurate and proper
measurements of the diseased limb, and to construct the appliances so
that they will be adapted to the various requirements of different
cases. There are no definite rules for taking these measurements, and
only a thorough examination of the case can indicate to the eye of the
experienced surgeon what measurements are required, and what kind of an
appliance is suitable for each individual case. At the Invalids' Hotel
and Surgical Institute these measurements are all taken by the surgeon
in person, and each appliance is constructed under his immediate
supervision. It is utterly impossible for physicians who have but a
limited experience in the treatment of such cases to take correct
measurements and send off for an apparatus which fulfills the
requirements of the case.

In the light of our vast experience at the Invalids' Hotel and Surgical
Institute, we feel that we cannot too strongly urge the employment of a
suitable apparatus for supporting the hip-joint, giving it perfect rest,
and enabling the patient to exercise and get the outdoor air. As much of
the pain in this disease is due to the pressure of the head of the
_femur_, or thigh-bone, in the _acetabulum_, or socket, steadily-applied
mechanical extension,