A few days ago OAG was very fortunate to receive from a reader, RichD, a copy of a picture that has been seen on the web before but not in its original form.   I first saw this great picture on Plaster of Paradise and subsequently on some other cast sites.   It has always appeared with the patient's face obsured and the right arm in a shoulder spica.   As you will see from the original picture the patient's midsection was initially covered by a sheet.  This was very skillfully painted out in the picture that has been posted previously.   The texture of the newly created cast area and the shadow between the right side of the cast and the bed are extremely well done.   Combining the first modified picture with the 'original' original, I've created a new modified picture .   If the person who made the first mod will contact me, I will be glad to acknowledge him/her on OAG.

If anyone has the text associated with this picture or can explain the apparatus being used, I would very much like to add the information to this page.

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Today (April 10) I received more information from a reader, concerning this picture. He has a copy of the page it came from. The caption is:

" Galo femoral traction with subsequent immobilization in a halo cast after spinal surgery. The patient has frail legs, and therefore the cast must extend to the toes. "

Thank you, Jeff.

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There are some interesting features that show up in the original picture:

• The patient's face is shown with unusual clarity for pictures of this type.
  
  
• The patient's right arm is also clearly visible. The shape of the arm and the face strongly suggest that it is a woman.
  
  
• Some fringe patterns from the scanning process are also very clear. Most of these were carefully removed by the artist who added the new cast area. I've included the full-size picture here with these artifacts so that those who want to enhance it, will have the raw data to use as a starting point.

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There are several versions of the picture that can be downloaded.   For the reader's convenience I have included a version with the patient in a vertical position.   It is identical to the corresponding horizontal picture but rotated 90 degrees.   The picture that I received was twice as large as the version that has been previously seen on the web.  Although it takes about four times as long to download, I'm including it for the benefit of those who want to experiment.   The details in it are much better that in the smaller picture.

The full-size pictures have not been altered except for the patient's face, which I have changed to avoid posting on a wide open forum .   The smaller pictures have been scaled to match the size of the picure that posted before.   After scaling the pictures were passed through a sharpening filter. 

If you would like a copy of the totally unaltered picture, please let me know .