The practice of surgery . Fig. 583.—Reduction of Colles fracture. Nf>tf gras|) upon forearm and the lowerfragment of tlie radius, traction and countertraction being made; breaking up theimpaction (Scudder). An interesting and important consideration in the treatment ofColles fracture is the care of the hand during the two or three weeksof convalescence. Union is almost always prompt, and displacementof the fragments after a week is extremely improbable. For this reasonwe may begin early the gradual removal of splints, lightening theapparatus and employing massage. After one week I get rid o
The practice of surgery . Fig. 583.—Reduction of Colles fracture. Nf>tf gras|) upon forearm and the lowerfragment of tlie radius, traction and countertraction being made; breaking up theimpaction (Scudder). An interesting and important consideration in the treatment ofColles fracture is the care of the hand during the two or three weeksof convalescence. Union is almost always prompt, and displacementof the fragments after a week is extremely improbable. For this reasonwe may begin early the gradual removal of splints, lightening theapparatus and employing massage. After one week I get rid of the. Pig. .584.—Reduction of Colles fracture. Note position of the thumbs andfingers. Lower fragment is pushed into place, while counterpressure is made by thefingers upon the upper fragment (Scudder). anterior splint, and hold the hand in a single posterior splint duringthe second week. At the end of this fortnight the posterior splint isremoved, and a short dorsal splint, with an anterior pad. is secured uponthe wrist, which is hung in a narrow sling. This splint in turn maygenerally be renewed at the end of the third week, when systematic,skilful daily massage of the arm, elbow, WTist, and hand is begun, and SPECIAL FRACTURES AND THEIR TREATMENT 891 is continued until the puticnts strength is restored. We encouragea noi-mal use of the released fingers in the second week, or as soon as thefirst heavy dressing is removed. Old Colles fractures, neglected and badly united, offer a seriousproblem to the surgeon. If the patient be young and vigorous, anoperation may give him a useful hand.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
