The treatment of fractures . ed in front of the neck. COLLES FRACTURE TREATM EXT 237 At the end of the first week in most cases, in place of the twoanteroposterior splints, it will be wise to use one posterior splintonly and an anterior pad over the seat of fracture. The poste-rior splint is applied evenly padded, and if necessary, a small padis placed over the dorsum of the lower fragment. The splint isheld in place by two adhesive-plaster straps—one at the upperend of the splint around the forearm, the other around the meta-carpal bones at the lower end of the splint (see Fig. 314). Thefract
The treatment of fractures . ed in front of the neck. COLLES FRACTURE TREATM EXT 237 At the end of the first week in most cases, in place of the twoanteroposterior splints, it will be wise to use one posterior splintonly and an anterior pad over the seat of fracture. The poste-rior splint is applied evenly padded, and if necessary, a small padis placed over the dorsum of the lower fragment. The splint isheld in place by two adhesive-plaster straps—one at the upperend of the splint around the forearm, the other around the meta-carpal bones at the lower end of the splint (see Fig. 314). Thefracture should be held securely by a third strip of adhesiveplaster at the seat of fracture over a compress-cloth pad, whichfills up the anterior hollow of the radius (see Fig. 315). This padholds the fragments securely. A roller bandage gives even com-pression and support to the whole arm (see Fig. 316). The posterior surfaces of the forearm, wrist, and hand in theextended position are practically in one plane (see Fig. 317);. Fig. 31S.—Anterior and posterior splint?. Diagram of pad to fit the radial arch. hence, the reasonableness of the use of the posterior splint. Thearm lies naturally upon it. The anterior surface only requiresaccurate padding. The difficult}- in applying an anterior splintaccurately to the forearm and wrist is rendered clear by theillustration. The front of the forearm and wrist is a rounded anduneven surface (see Fig. 317). In order accurately to controlthe bone by a splint applied to the anterior surface of the fore-arm, the padding must be applied with greater care than is ordi-narily exercised. Xo splint is manufactured that fits the wristaccurately. If the surgeon depends upon manufactured andmolded splints, he is in very great danger of neglecting the frac-ture (see Fig. 318). It is wiser for the surgeon to use simplesplints, and to hold the fracture reduced by personally appliedpads and straps. 238 FRACTURES OF THE BONES OF THE FOREARM Until the ti
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