A practical treatise on fractures and dislocations . resort to pulleys, or to some similar permanent mode of same measures also sometimes become necessary in very recentcases, especially in muscular subjects. In employing the pulleys we generally operate, not exactly in a linewith the axis of the body, nor at more than a right angle, but betweenan angle of 45° and a right angle. Mr. Skey has suggested a plan by which we may combine the prin-ciple of the heel in the axilla with the pulleys, but which plan would,in my judgment, be very much improved by a counter-extending forceappl
A practical treatise on fractures and dislocations . resort to pulleys, or to some similar permanent mode of same measures also sometimes become necessary in very recentcases, especially in muscular subjects. In employing the pulleys we generally operate, not exactly in a linewith the axis of the body, nor at more than a right angle, but betweenan angle of 45° and a right angle. Mr. Skey has suggested a plan by which we may combine the prin-ciple of the heel in the axilla with the pulleys, but which plan would,in my judgment, be very much improved by a counter-extending forceapplied to the acromion process. I ought to say, however, that prefers that the scapula should not be fixed, believing that thereduction is much more easily effected when the glenoid cavity is drawndownwards in the act of making the extension. With all respect for the opinion of this distinguished surgeon, wecannot precisely agree with him; and while we would be disposed torecommend in some cases a trial of his method of applying the pulleys,. Sir Astley Coopers method of operatingwith the knee in the axilla. DISLOCATION OF THE HUMERUS DOWNWARDS. 591 we would, at the same time, or certainly in the event of its failure, addthe acromial support, and especially would we advise that the armshould be more abducted. The following is Mr. Skeys method, asdescribed by himself: There is no reason why, in very muscular subjects, or in old dis-locations, the same principle may not be applied conjointly with the Fig. 265.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
