A system of surgery . ension stirrup, friction of the flannelbands against the limbs, and slight flexion at the knee. Inthis splint the limb swings comfortably; fractures with and withoutangular deformity can be equally well treated in it, even the supra-condyloid fracture with flexion of this fragment, if it be. possible toovercome the deformity by splint only; the nursing is easy, for thepatient soon learns to lift himself by his sound leg and arms up andawav from the extension cord, or he can be lifted in this way, so as FRACTURES OF THE THIGH. 855 to maintain constant, comfortable extensio
A system of surgery . ension stirrup, friction of the flannelbands against the limbs, and slight flexion at the knee. Inthis splint the limb swings comfortably; fractures with and withoutangular deformity can be equally well treated in it, even the supra-condyloid fracture with flexion of this fragment, if it be. possible toovercome the deformity by splint only; the nursing is easy, for thepatient soon learns to lift himself by his sound leg and arms up andawav from the extension cord, or he can be lifted in this way, so as FRACTURES OF THE THIGH. 855 to maintain constant, comfortable extension. It is an admirable splint,for compound fractures, as it can be included in an antiseptic dressing,the bands being sterilised Ua;». and changed one by one atthe dressings. It appearsto be clearly the best all-round splint for treatmentof fractures of the thigh;thoughThomass knee-splinthas the advantage that, incases for which it is suitable,it gives greater freedom, thepatient being able to getup, and even to Fig. 303.—Bryants vertical Suspension Method—weight-extension being used. The left leg isloosely fixed by a clove-hitch round the ankle and the shoulders are fixed by a webbingbrace with arm-holes, buckled round the chest and tied to the sides of the bed-fraine. (6) Nathan Smiths anterior splint is a narrow wire framework,moulded to the front of the limb from groin to ankle with the knee moderately bent; two or three layersof boric lint form a pad. The limb isattached to the splint by a few bandsand then slung to a hook above the limbso that little or no extension is support is given by more bandsor by a continuous bandage. It is hardto imagine a case for which Hodgensmodification would not be better. (7) Bryants vertical suspension isthe most satisfactory mode of treatingchildren. Fig. 303 explains most ofthe points. Bryant recommends thatboth limbs should be flexed to 90° atthe hips with an extension stirrup oneach, and that the stirrups s
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