. A practical treatise on fractures and dislocations. -ment (apex backward), as shown in Fig. 163, and, of course, it is value-less unless antecedent reduction is made. Ashhurst,^ in his interesting and valuable study of fractures of theelbow, sti*ongly recommends treatment in extreme flexion (Figs. 164and 165), and reports excellent results thereby. If the surgeon selectsthis method of retention, he should assure himself that full reduction 1 : Annals of Surgery, 190S. vol. xlviii. p. [:V2. 2 Ashhurst : Fractures of the Elbow. Lea ^V: Fclnocr. UHO. 270 FRACTURES. has been made, either p
. A practical treatise on fractures and dislocations. -ment (apex backward), as shown in Fig. 163, and, of course, it is value-less unless antecedent reduction is made. Ashhurst,^ in his interesting and valuable study of fractures of theelbow, sti*ongly recommends treatment in extreme flexion (Figs. 164and 165), and reports excellent results thereby. If the surgeon selectsthis method of retention, he should assure himself that full reduction 1 : Annals of Surgery, 190S. vol. xlviii. p. [:V2. 2 Ashhurst : Fractures of the Elbow. Lea ^V: Fclnocr. UHO. 270 FRACTURES. has been made, either previously by noting the restriction of the carry-ing angle in extension, or, after flexion, by noting the relations of theAvrist and shoulder, as shown in Fig. 162. After the joint has beenfixed by the bandage the limb can, of course, be rotated inward, as shownin Fig. 165, without changing the relations of the fragments to eachother. Treves employs the method except in supracondyloid fracturesand in those with great displacement. Fig. 164. Fig. 165. Dressing to maintain elbow in hyperfiexion :first stage. (Ashhurst.) Dressing to maintain elbow in hyperfiexioncompleted. (Ashhurst.) , The frequency with which some deformity persists after this fracturehas led some surgeons to maintain that in it, more perhaps than in anyother simple fracture of a long bone, a primary operation for adjust-ment and fixation is justifiable or even requisite, but Konig^ has shownby several skiagrams taken at intervals of two or three years that evenvery marked deformity disappears rapidly in the young by absorptionof projecting bone and the filling up of hollows, and that functionallimitations are rarely caused by it. In compound fractures I always use vertical suspension of the limbfor about a fortnight, unless the wound heals sooner. It is of greatvalue in controlling reaction as well as preventing gross displacements; 1 Konig; Arcli. fiir Klin. vol. Ixxxv, p. 187. FRACTURES OF THE HUMERUS
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
