. A practical treatise on fractures and dislocations . the acromion pro-cess. I ought to say, however, that Mr. Skey prefers that the scapulashould not be fixed, believing that the reduction is much more easilyeffected when the glenoid cavity is drawn downwards in the act ofmaking the extension. With all respect for the opinion of this distinguished surgeon, wecannot precisely agree with him, and while we would be disposed torecommend in some cases a trial of his method of applying the pulleys,we would at the same time, or certainly in the event of its failure, addthe acromial support, and esp
. A practical treatise on fractures and dislocations . the acromion pro-cess. I ought to say, however, that Mr. Skey prefers that the scapulashould not be fixed, believing that the reduction is much more easilyeffected when the glenoid cavity is drawn downwards in the act ofmaking the extension. With all respect for the opinion of this distinguished surgeon, wecannot precisely agree with him, and while we would be disposed torecommend in some cases a trial of his method of applying the pulleys,we would at the same time, or certainly in the event of its failure, addthe acromial support, and especially would we advise that the armshould be more abducted. The following is Mr. Skeys method, asdescribed by himself:— There is no reason why, in very muscular subjects, or in olddislocations, the same principle may not be applied conjointly withthe use of pulleys. For the purpose of retaining this admirable,because most efficient principle, I employ a well-padded iron knob,which may represent the heel, from which there extend laterally Fig. Iron knob employed by Skey, instead of the heel. two strong straight branches of the same metal, each ending in a bulbor ring of about four inches in length, the office of which is designedto keep the margins of the axilla as free from pressure as iron knob is to be pressed well up into the axilla and attached tocords fastened to a staple ; the patient lying upon his back or inclineda little to the opposite side. The arm is then to be drawn downwardsby the pulleys, as nearly as possible, parallel to, and in contact withthe Fig. 227.
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Keywords: ., bookcentury1800, bookdecade1860, booksu, booksubjectfracturesbone
