Moderators: Prof B

Seetharam Rao
Dr K R
Kamath

The past is the foundation for

our future developments,
we must build upon it so that we
can act as a stable foundation
for future generation
-Robert B Osgood

The Father Of British

Orthopaedics
Born at Bodedern,

Anglesey, On August
23, 1834
Descended from a

family tradition of
bone-setting
Live with his

grandparents at Rhos
Colyn

The Father Of British Orthopaedics Cont.

Few inches over five feet
Always wore a black coat

buttoned up to the neck

A sailors cap pulled over

a left eye.
A cigarette was seen

constantly in his mouth

He treated all his

patients at his home in

Liverpool
Sunday consultation was

free
Started his rounds at

five or six in the morning

His peculiar temperament in adulthood led

many to ignore him and his immense

contributions to Orthopaedic Surgery

PROFESSIONAL CAREER
Trained first with his uncle Dr. Owen

Roberts at St. Asaph in North Wales for

four years
Studied medicine at Edinburgh and

University College, London

Qualified as MRCS in 1857
1859 he set up his own practice

CONTRIBUTION
Treatment of

tuberculosis of
knee he
advocated rest
Enforced
Uninterrupted

&
Prolonged

CONTRIBUTION cont..
Thomas Splint
Originally consists of

double ring on which

the patient could walk
It prevented

amputations which was

the only treatment for
tuberculosis of knee

CONTRIBUTION cont..
Popularized by

his nephew Sir

Robert Jones
Its use in

compound
fractures of
femur reduced
mortality of 80%
in 1916 to 8% in
1918

CONTRIBUTION cont..
Thomas Test
Test for fixed

flexion deformity of
hip
1. The patient is
supine
2. Stabilize the
pelvis
3. Patient flex both
his hips

CONTRIBUTION cont..
4.Patient hold one
leg to his chest

5.Other leg let down

until it is flat on the
table.

CONTRIBUTION cont..
Thomas's collar
For treatment of

cervical spine
tuberculosis.
Made of metal

covered by sheep
felt

CONTRIBUTION cont..
Thomas's wrench
Osteoclysis

malunited distal
radius fractures
& reduce them

CONTRIBUTION cont..
Thomas heel
Support to medial

longitudinal arch

CONTRIBUTION cont..
Thomas spinal Brace
Used in the management of spinal

tuberculosis
Thomas Sign of tuberculosis of the

hip
Reduction of old elbow dislocation

CONTRIBUTION cont..
One man reduction technique of

reduction of hip

WORKS
Diseases of the hip, knee and ankle

joints (1876)
A review of the past and present

treatment of disease in the hip, knee,

and ankle joints: With their deformities
(1878)
The past and present treatment of

intestinal obstructions (1879)

WORKS.
The treatment of fractures of the lower

jaw (1881)
Intestinal disease and obstruction (1883)
Nerve inhibition and its relation to the

practice of medicine (1883)

Principles of the treatment of diseased

joints (1883)

WORKS.
The collegian of 1666 and the collegians

of 1885: Or, what is recognized

treatment? (1885)
The principles of the treatment of

fractures and dislocations (1886)

Fractures, dislocations, diseases and

deformities of the bones of the trunk

and upper extremities (1887)

WORKS.

A new lithotomy operation (1888)

An argument with the censor at St.

Luke's Hospital, New York (1889)

Fractures, dislocations, deformities

and diseases of the lower extremities

(1890)

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