4l|r<lioßeik 
* 
(CH I(C A .(50) 
FOR THE 
Surgical and Mechanical Treatment of the Deformities 
and Deficiencies of the Human Body, 
SUCH AS 
CURVATURE OF THE SPINE, HIP DISEASES, CLUB-FOOT, AFFECTIONS 
OF THE JOINTS, CONTRACTIONS, PARALYSIS, Etc., Etc. 
Clark Street, Chicago. 
Db. Hiatt & Lie ZR,oy 
PROPRIETORS. CHICAGO 
Orthopedic Ihstitute, 
FOR THE 
SURGICAL AND MECHANICAL TREATMENT 
OP THE 
Deformities and Deficiencies of the Human Body. 
An institution like this has long been a desideratum in this 
city and the Northwest; a place where young children and 
youths can have the scientific application of apparatus adapted 
to the cure of incipient or fully developed deformities of the 
different parts of the body before tlie tissues have reached that 
degree of hardness which places them beyond the reach of 
remedy. By efficient and timely treatment nearly all of the 
following class of cases can be rescued from life-long suffering 
and deformity —to neglect such cases is a positive cruelty on 
the part of parents and guardians viz.: 
Club-Foot, Knock-Knee, Bow-Legs; the different kinds of 
Spinal Curvature, Hip Diseases, Deformities of the Head and 
Neck, partial Paralysis of the upper or lower extremities, Weak 
Ankles, and Weakness of other joints; Anchylosis of the Knee 
Joint, etc. A few cuts, from, photographs, representing some 
of these affections before and after treatment by mechanical 
appliances, may be found in the following pages, which will 
more satisfactorily illustrate what lias been done, and may be 
done, in such cases, than whole volumes written upon the 
subject. Chicago Orthopedic Institute. 
3 
Application of Apparatus. 
We have other forms of apparatus, adapted 
to lateral curvature and female patients. 
Apparatus for Antero-Posterior or Angu- 
lar Spinal Curvature, for children and 
adult male patients. 
False Anchylosis of Knee Joint. 
(From, Photograph.) 
Result after forcibly breaking up adhesion, 
and division of hamstring and tendons. 
With apparatus. {From Photograph.) Chicago Orthopedic Institute. 
Bow Legs. 
{From Photograph.) 
Result of Mechanical Treatment. 
{From Photograph.) 
Apparatus for Paralysis of both limbs, 
with pelvic band. 
Paralysis with Apparatus. 
{From Photograph.) Chicago Orthopedic Institute. 
7 
SHORTENED LIMBS. 
We would here call especial attention to our apparatus tor 
the extension of shortened limbs, from whatever cause the short- 
ening may have been produced. 
Hundreds of persons may be seen on the streets, and in the 
country, with a shortening of the lower limb of from two to 
seven or eight inches, with all manner of contrivances to eke out 
the deficiency, with very ill success, subjecting the individual to 
much suffering and constant embarrassment. How we have a 
contrivance that overcomes this deformity entirely, extending 
the limb to its proper length, and appending an artificial foot, 
which, when dressed with shoe or boot, looks perfectly natural, 
and the apparatus connecting with the limb is all hid by the 
lady’s dress, or the gentleman’s pantaloons, as the case may be. 
All unnaturalness of movement is completely overcome, except- 
ing what is referable to the hip-joint. Ho one seeing the indi- 
vidual would suspect any shortening of the limb. 
SURGICAL, INSTRUMENTS. 
We keep for sale all of the most approved make of Surgical 
Instruments at manufacturers’ prices. Our facilities for filling 
orders in this department are unsurpassed by any parties in this 
city. 
TRUSSES, ETC. 
We manufacture and deal in all kinds of Abdominal and 
Uterine Supporters, Trusses, Crutches, Shoulder and Body 
Braces, Suspensories, Webbings, etc., etc. 8 
Chicago Orthopedic Institute. 
SILK ELASTICS. 
Our Elastic Stockings, Leggings, Knee- 
Caps, Anklets, etc., are manufactured to 
order of the best material. We can have 
them made to fit any case, however unusual 
the size or shape may be. Send measure as 
indicated by accompanying cut. We can 
send them anywhere by mail. 
When it is impracticable for parties to 
come to us for apparatus of any kind, we 
can make the same from measurement care- 
fully taken by a physician or other competent 
person. 
PATIENTS 
Coming to us for treatment will be properly 
provided for, and their conditions thoroughly investigated and 
carefully treated, by A. H, Hiatt, M. D., who gives personal 
attention to every case, assisted, when necessary, by the ablest 
surgical counsel in the city, the advantage of the patient using 
mechanical appliances under the immediate supervision and 
direction of the experienced and skilled surgeon, must be appar- 
ent to every one. The changing phases of the case requiring 
modifications in the treatment, which none but the careful 
physician would discern. Ko pains will be spared by us to 
give our patients all the benefits that the latest advances in 
science afford. Chicago Orthopedic Institute. 
9 
ARTIFICIAL LIMBS. 
We manufacture the latest and most improved Artificial 
Limbs. We have on our list of limbs for sale over twenty 
different kinds, principally Eastern patents, any of which, can 
be had of us for less than manufacturer’s prices, and a trip to 
New York or Philadelphia he avoided, which would be half the 
cost of a limb. The kind of limbs made by other parties in this 
city can be purchased of us for $5O. Any one coming to us 
for a limb has the privilege of putting the leg on, and walking 
with it, thus satisfying himself beyond a doubt of its perfect 
adaptation to his case before any pay on the same is required. 
The Leg we make a specialty is “Lb Roy’s Yew Patent Leg.” 
The special claims of this limb over all others are the following: 
Ist. Its superior durability. The points of weakness in other 
limbs being carefully guarded against in this. Particularly at 
the ankle joint and the heel Cord and Spring. Also the knee 
joint, in amputation below the knee, is so made as to admit of 
tightening as the use of it may require, and thus the rattling so 
annoying to the wearer be avoided; and in thigh amputation, the 
knee joint is so constructed as to give it firmness, allowing the 
wearer to put his entire weight upon the limb with the utmost 
confidence. 
2d. Its life-like motion. The Springs being so evenly bal- 
anced in the flexion and extension of the joints that the motion 
is so easy and natural as to place the lameness of the wearer in 
many instances beyond detection. All that awkwardness and 
flapping of the foot, so common to artificial limbs, is entirely 
avoided. 10 
Chicago Orthopedic Institute. 
3d, Its simplicity of structure. Being put together in sec- 
tions it can readily be taken apart by the wearer and cleaned, 
thus preventing all friction and squeaking, and increasing the 
wear of the limb one half or more. 
The limb is fitted so that the weight of the body is diffused 
over the outer surface of the stump, in all cases the end of the 
stump being free from weight and pressure; oblong fenestras 
give ventilation and allow the secretions of the stump to escape. 
We regard this limb as the very best now offered to the American 
public. We warrant it for five years. 
DR. ELY’S PATENT LIMBS. 
We are the only Agents in this city and the Northwest for 
Dr. Ely’s Patent Limbs, which we manufacture of material fur- 
nished us by Dr. Bly from his establishment in Rochester, and 
which we warrant for five years. 
SOLDIERS. 
We are the appointed Agents, by the Surgeon-General of the 
United States, to supply soldiers with limbs and apparatus. See 
the law on the subject contained in this pamphlet. 
REPAIRS. 
Persons who are wearing Artificial Limbs (no matter whose 
make they are) and want repairing done, will do well to call on us, 
or send the limb to our office; we will repair or remodel it, and 
not keep it in the shop one moment longer than is necessary. Chicago Orthopedic Institute. 
11 
External appearance of our Leg for ampu- 
tation below knee, with lacer. 
We have made Legs for eight double amputations during the past year 
The parties all walking well, and some of them without a cane. 12 
Chicago Orthopedic Institute. 
ARTIFICIAL ARMS. 
We call special attention to our Artificial Arms, as being 
the finest specimen of mechanical skill to supplement the loss 
of so important a member, that can now be made. This is a 
triumph of art that needs but to be seen to be appreciated by 
the hundreds who are suffering the embarrassments and incon- 
veniences of this great loss. 
It performs many of the important movements of the natural 
arm; is a perfect imitation of it, and will he found to he of 
great use to the wearer. It can he adapted to any length of 
stump, and is very light and durable. It is so made that the 
hand can be taken off at the wrist, and a fork, knife, hook, or 
other instrument, inserted for use. We can furnish Eastern 
Arms at manufacturers’ prices. 
We invite every one needing an Arm to be sure and examine 
ours before purchasing elsewhere, or deciding to go without one. 
For amputation above elbow. Chicago Orthopedic Institute. 
13 
MEMORANDUM RELATIVE TO ARTIFICIAL LIMBS. 
WAR DEPARTMENT—SURGEON GENERAL’S OFFICE, 
[Public —No. 86.] 
Washington, D. C., February 1, 1873. 
AN ACT to provide for furnishing artificial limbs to disabled soldiers. 
Be it enacted by the Senate and House of Representatives of the United 
States of America in Congress assembled, That every soldier who was dis- 
abled during the late war for the suppression of the rebellion, and who was 
furnished by the War Department with an artificial limb, or apparatus for 
resection, shall be entitled to receive a new limb or apparatus as soon after 
the passage of this act as the same can be practically [practicably] furnished, 
and at the expiration of every five years thereafter, under such regulations 
as may be prescribed by the Surgeon General of the army: Provided, That 
the soldier may, if he so elect, receive, instead of said limb or apparatus, 
the money value thereof, at the following rates, viz.: For artificial legs, 
seventy-five dollars; for arms, fifty dollars; for feet, fifty dollars; for 
apparatus for resection, fifty dollars. 
Sec. 3. And be it further enacted, That the Surgeon General shall cer- 
tify to the Commissioner of Pensions a list of all soldiers who have elected 
to receive money commutation instead of limbs or apparatus, with the 
amount due to each, and the Commissioner of Pensions shall cause the same 
to be paid to such soldiers in the same manner as pensions are now or here- 
after may be paid. 
Sec. 3. And be it further enacted, That every soldier who lost a limb 
during the late war, but from the nature of his injury was not able to use 
an artificial limb, and consequently received none from the Government, 
shall be entitled to the benefits of this act and shall receive money com- 
mutation as hereinbefore provided. 
Approved June 17, 1870. 
Pak. 1. The acts, approved June 30, 1870, and June 8, 1873, extend the 
benefits of the previous act to “ all officers, non-commissioned officers, 
enlisted and hired men of the land and naval forces of the United States, 
who, in the line of their duty as such, shall have lost limbs, or sustained 
bodily injuries depriving them of the use of any of their limbs, and allow 
transportation to and from the place where the limb is to be fitted. 14 
Chicago Orthopedic Institute. 
Par. 2. The act, approved July 11, 1870, devolves the expense of fur- 
nishing these limbs upon the Pension appropriations. 
Par. 3. Applications should be made by officers of the army and sol- 
diers direct to the Surgeon General, from whose office the necessary blanks 
will be furnished on request; officers of the navy and seamen should apply 
for blanks to the Chief of the Bureau of Medicine and Surgery, Navy 
Department, Washington. 
Par. 4. Upon applications for limbs in kind, orders will be given by the 
Surgeon General, upon any manufacturer selected, who shall have filed a 
bond in the sum of Five Thousand Dollars, with two sureties, to furnish 
good and satisfactory limbs, without extra charge to the soldier, and make 
good for five years all defects of material or workmanship without addi- 
tional charge, subject in all cases to the inspection of such persons as the 
Surgeon General may designate. 
Par. 5. Orders for transportation will also be furnished upon a written 
request addressed to the Surgeon General, giving the nearest railway 
station and the stage-line, if any, necessary in reaching a railway; but 
should not be applied for until the limb is nearly complete and ready to be 
fitted. 
Par. 6. The limb or apparatus will be delivered in the presence of the 
Board of Pension Examining Surgeons at the place of fitting, who will 
Judge whether it is satisfactory, and certify to the accounts of the manu- 
facturer. 
Par. 7. Each person on receiving actual transportation will sign and 
deliver up his transportation order to the authorized agent of the railroad, 
or other carrier. 
Par. 8. Applications for commutation will be certified by the Surgeon 
General, and transmitted to the Commissioner of Pensions, for payment 
through the local pension agents. The application should be certified by 
the pension agent, and have all its blanks distinctly filled out before being 
sent to this Office. 
Par. 9. The five years mentioned in the act of June 17, 1870, is reck- 
oned from the date of filing the first application under that act. 
Par. 10. Those who received orders for artificial limbs dated on or 
before June 16, 1870, are held entitled to have those orders filled, and also 
to claim under the recent acts. Orders on and after June 17, 1870, will be 
reckoned under the act of that date, and no person will be held entitled to Chicago Orthopedic Institute. 
15 
receive two orders or their equivalents for the same injury, within the 
period of five years prescribed by law. 
Pab. 11. An affidavit is of no validity unless taken before a notary 
public or clerk of court having an official seal, or is certified under the seal 
of a court of record. 
Pak. 12. Commutation can only be allowed in cases of loss of a limb or 
loss of use of a limb. 
Pak. 18. The forms and instructions furnished by this Office are so 
full and carefully prepared that no attorney or agent is believed to be 
necessary in any case. 
J. K. BARNES, 
Surgeon General TJ. 8. Army. 
The following letter will show that we are Government 
Agents to supply soldiers with limbs and apparatus; 
WAR DEPARTMENT—SURGEON GENERAL’S OFFICE, 
De. Hiatt & Le Roy, 
125 Clark street, Chicago. 
Washington, D. C., January 7, 187J 
Gentlemen : In reply to yours of the 3d iust., 1 am instructed by the 
Surgeon General to inform you that your bond as manufacturers of arti- 
ficial limbs, on Government account, was received, accepted and placed on 
file, December 3, 1873. 
Very respectfully, 
Your obedient servant 
Assistant Surgeon U. 8. Army. 
I. N. BILLINGS, 16 
Chicago Orthopedic Institute. 
NEW ATTACHMENT FOR LEG. 
We invite attention to our new method of attaching limbs, 
where the amputation is below the knee. By this means the 
ordinary Lacer is dispensed with, thus avoiding the compression 
of the limb, and consequent wasting of the muscles, which 
it induces, as well as dispensing with the weight and incon- 
venience of the Artificial knee joint. 
This is without any question the finest improvement that 
has been made in the adaptation of Artificial Limbs to ampu- 
tation below the knee. 
CERTIFICATES 
In preference to appending a list of certificates, we will refer 
persons desiring such testimony to those wearing our limbs and 
apparatus, to whom they can write and obtain direct evidence. 
Parties desiring Treatment, or wanting Limbs, Apparatus, In- 
formation, etc., should call at our office, or address, 
Dr. Hiatt & Le Roy, 
125 Clarh Street, 
CHICAGO.