Operative surgery . Fig. 1549.—Fixation cif fragincnts in fracture of long bone. Parkhills method. Soft parts adjusted. Koenig operated in a case of recent fracture, making a small incisionover the outer side of the trochanter major, drilled a hole through it with ametal drill in the direction of the head of the bone, applied extension to thelimb to the extent necessary to overcome the deformity, and then drove along steel nail through the canal in the trochanter into the head of the boneand left it there. The limb was then immobilized and extended for six. Kui. —Fixation of frasrnients
Operative surgery . Fig. 1549.—Fixation cif fragincnts in fracture of long bone. Parkhills method. Soft parts adjusted. Koenig operated in a case of recent fracture, making a small incisionover the outer side of the trochanter major, drilled a hole through it with ametal drill in the direction of the head of the bone, applied extension to thelimb to the extent necessary to overcome the deformity, and then drove along steel nail through the canal in the trochanter into the head of the boneand left it there. The limb was then immobilized and extended for six. Kui. —Fixation of frasrnients ui fracture of neck of femur, l*arkiiiirs inetiiod weeks. There is no record of the ultimate shortening, but good union andfree motion of the joint were obtained. Cheyne, in a case of recent fracture, exposed the fragments through alongitudinal iucision made over the anterior aspect of the joint, exposed the 1278 OPERATIVE SURGERY. fracture, made extension and internal rotation on the limb, and with thefingers in the wound manipulated the fragments into place; then a smalllongitudinal incision was made over the outer side of the trochanter major,and two canals drilled through the fragments at a distance of half an inchapart. Ivory pegs were then driven through the holes made by the drill,and the limb immobilized. Good union and motion were obtained, butthere is no record of measurements of the limb. In operating upon cases of ununited fracture the refreshing of the endsof the fragments is a necessary step in the technique. Meyer\ in a case of unun
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