. A practical treatise on fractures and dislocations . t-piece, and two crutches, one for the axilla and the other for the peri-neum, to make the requisite extension and counter-extension. Withsuch an apparatus, an oblique fracture of the thigh can be treated withgreat comfort to the patient, and with the assurance of a good children, I have effected some excellent cures simply by means ofa sole leather trough, well padded and provided with a foot-piece. The great objection to the flexed position is the difficulty of keep-ing the ends of the broken bones in apposition; the upper one ha


. A practical treatise on fractures and dislocations . t-piece, and two crutches, one for the axilla and the other for the peri-neum, to make the requisite extension and counter-extension. Withsuch an apparatus, an oblique fracture of the thigh can be treated withgreat comfort to the patient, and with the assurance of a good children, I have effected some excellent cures simply by means ofa sole leather trough, well padded and provided with a foot-piece. The great objection to the flexed position is the difficulty of keep-ing the ends of the broken bones in apposition; the upper one havinga constant tendency to pass away from the Other objectionsmight be urged against the flexed position, but this is quite sufficientto induce me to reject Dr. Neill, of Philadelphia, has contrived a very ingenious mode ofmaking both extension and counter-extension at the same moment, bymeans of a twisted rope which is fastened by its two ends respectively,to the perineal band above and the extending bands below (Fig. 139). Fig. John Neili/s Straight Thioh-Splint.—Extension and counter-extension, made at the same moment. Dr. Charles Ap. Bowen, of St. Catherines, C. W., has sought also toaccomplish the same purpose by another method; but which will bebest understood by a reference to the accompanying drawing (Fig. 140).The projection of the foot-piece on both sides of the splint is intendedto give additional security to the splint, and to render the instrumentapplicable to either the right or left limb. 1 Trans. Am. Med. Assoc, vol. x.; also System of Surg., by S. D. Gross, 1859, p. 221. FRACTURES OF THE SHAFT OF THE FEMUR. 411 Fig. 140.


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