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Orthopedics and Beyond:

Highlights from the H. Winnett Orr Collection

The Study of Orthopedics

Hiram Winnett Orr, MD, studied orthopedic surgery with John Ridlon, MD, of Northwestern University Medical School in 1904. When Dr. Orr returned to Lincoln, he partnered with several Nebraskans to establish a specialized hospital for children with physical disabilities. The Nebraska state legislature formed the Nebraska Orthopedic Hospital in 1905. As an orthopedic surgeon, Dr. Orr collected many works related to the history of his chosen field. In his collection, Dr. Orr also included many publications about his contributions to orthopedics.

L’orthopedie ou l’art de prevenir et de corriger dans les enfans, les difformites du corps:

le tout par des moyens a la portee des peres & meres, & les personnes qui ont des enfans a elever

Orthopedics or the art of preventing and correcting body deformities in children: all by means within reach of fathers and mothers, and people who have children to raise

 

Nicolas Andry de Bois-Regard (1658-1742)
Orr No. 17
1741

Nicolas Andry de Bois-Regard was a French physician who originated the word “orthopedics.” It is derived from the Greek orthos (straight) and paidos (child). He wrote this book when he was 82 and published it in 1741, one year before his death. Andry wrote it not for physicians or surgeons but for parents and guardians working with children daily and, therefore, able to perform the orthopedic exercises regularly. Andry’s book is famous for depicting a bent tree tied to a post, a symbol of orthopedics worldwide.

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Diseases of the hip, knee, and ankle joints:

with their deformities, treated by a new and efficient method, (enforced, uninterrupted, and prolonged rest)

Thomas, Hugh Owen (1834-1891)
Orr No. 1295
1876

Hugh Owen Thomas was an orthopedic surgeon who practiced in Liverpool, England, and was a great proponent of rest as a treatment for fractures. In his book Diseases of the hip, knee, and ankle joints: with their deformities, treated by a new and efficient method, Thomas introduced his hip and knee splint designs. The Thomas Splint treated fractures of the femur and hip joint. Its use during World War I decreased the mortality rates of injured soldiers. He also devised a test for detecting hip flexion contracture.

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image file Jones02
Notes on military orthopedics, 1918

Image of treatment for flat feet

Notes on military orthopedics

Sir Robert Jones (1858-1933)
Orr No. 1129
1918

Sir Robert Jones was born in Wales, the nephew of famed early orthopedist Hugh Owen Thomas. Dr. Jones served as the surgeon for the Manchester Ship Canal construction project, where he learned much about treating fractures and acute injuries and addressing emergencies, which became important during his service in WWI. Dr. Jones was instrumental in pushing for specialized hospitals for orthopedic care. He advocated for the Thomas Splint, named for his uncle, which reduced mortality and morbidity related to femoral fractures. After the war, he advocated for social work to develop acceptance of people with disabilities.

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The treatment of osteomyelitis and other infected wounds by drainage and rest

H. Winnett Orr
Orr No 1206
1927

“Since the time of Lister there has developed a disposition on the part of the profession to regard wound treatment as a contest between the germs in the wound and the antiseptic that is being employed.”

In his book The Treatment of osteomyelitis and other infected wounds by drainage and rest, Dr. Orr discussed the “rest treatment” he developed during WWI and promoted through the remainder of his career. He provided a short history of wound care from Ambroise Paré to John Hunter to Joseph Lister. He discussed antisepsis, drainage, post-operative dressings, immobilization of wounds like compound fractures and conditions such as osteomyelitis.

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