. A new manual of surgery, civil and military. hing to consider is, how can we securean accurate apposition of the fractured ends with good alignment, and be ableto hold them in this position with a reasonable degree of certainty. In a largeproportion of simple fractures, the surgeon may, after careful examination,feel fairly sure that he can secure the above conditions by some of the ordinarymeans at his command; and in such cases there certainly is no indication foroperative treatment. On the other hand, there are many fractures in which,after careful examination, the surgeon feels that he c
. A new manual of surgery, civil and military. hing to consider is, how can we securean accurate apposition of the fractured ends with good alignment, and be ableto hold them in this position with a reasonable degree of certainty. In a largeproportion of simple fractures, the surgeon may, after careful examination,feel fairly sure that he can secure the above conditions by some of the ordinarymeans at his command; and in such cases there certainly is no indication foroperative treatment. On the other hand, there are many fractures in which,after careful examination, the surgeon feels that he cannot hold the fragmentsin accurate apposition with any degree of certainty by the ordinary methodsof treatment. In this class of cases, it is well to consider the open method ofexposing the fragments by a formal dissection and securing an accurate apposi-tion by dovetailing the parts into their normal position, which will do awaywith all rotary displacement and be the first step toward a proper alignment. 661 662 SURGERY OF THE EXTREMITIES i. Malunited fracture of upper thirdof femur with a plate and eightscrews. Picture eight months afteroperation. Fracture of surgical neck of humerus nailed threeweeks after accident. Picture two weeks afteroperation. SURGERY OF THE EXTREMITIES 663
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
