. Birth fractures and epiphyseal dislocations . Fig. 112,—Case 12. Untreated birth fracture of the femur, roentgeno-graphed for the first time on the eighth day. There was great swelling ofthe thigh, evident in the picture, while displacement of the fragments wasexcessive. The Van Arsdale splint modified to form an acute angle would bepreferable in a fracture of this type, with short and acutely flexed upperfragment, to the usual right angled variety. The box splint will usuallycontrol a flexed upper fragment when this is sufficiently long to be sur-rounded by a webbing strap and Fig.
. Birth fractures and epiphyseal dislocations . Fig. 112,—Case 12. Untreated birth fracture of the femur, roentgeno-graphed for the first time on the eighth day. There was great swelling ofthe thigh, evident in the picture, while displacement of the fragments wasexcessive. The Van Arsdale splint modified to form an acute angle would bepreferable in a fracture of this type, with short and acutely flexed upperfragment, to the usual right angled variety. The box splint will usuallycontrol a flexed upper fragment when this is sufficiently long to be sur-rounded by a webbing strap and Fig. 113.—Case of birth fracture of the femur incidental to frankbreech delivery nineteen days after injury. For the first ten days the frac-ture had been treated by means of a plaster-of-Paris bandage with the thighin extension. Union was firm when the first roentgen examination wasmade nine days later; there was acute flexion of the short upper fragment,the end of which could be felt beneath the skin. Over-riding was extreme,the upper end of the lower fragment approaching the upper end of the was also excessive anterior angular deformity, while the large anddense mass of interposed callus precluded the possibility of rectifying thecondition of the fracture without open operation. 103
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Keywords: ., bookcentury1900, bookdecade1910, booksubjec, booksubjectfractures
