The treatment of fractures . Fig. 384.—Measurement of lower extremity. Position of thumbs shown. Note position of limb. of the foot to a few inches below the perineum. Upon thefront of the thigh is placed a coaptation splint extendingfrom the groin to the patella. All of these splints are care-fully padded, preferably with folded sheets or pillow-cases ortowels ; of course, in emergency work small pillows or coats orshawls may be utilized. It is important that the padding be 282 FRACTURES OF THE FEMUR evenly and intelligently arranged. It will be necessary to placea wide pad between the upper
The treatment of fractures . Fig. 384.—Measurement of lower extremity. Position of thumbs shown. Note position of limb. of the foot to a few inches below the perineum. Upon thefront of the thigh is placed a coaptation splint extendingfrom the groin to the patella. All of these splints are care-fully padded, preferably with folded sheets or pillow-cases ortowels ; of course, in emergency work small pillows or coats orshawls may be utilized. It is important that the padding be 282 FRACTURES OF THE FEMUR evenly and intelligently arranged. It will be necessary to placea wide pad between the upper end of the long outside splint, toprevent it from pressing upon the ribs and side of the chest andcausing great discomfort. These splints are held in positionabout the leg, while gentle traction is being made upon thelimb by straps or pieces of bandage placed above the ankle,below the knee, above the knee, at the middle of the thigh,and at the level of the perineum. The upper end of the. Fig. 385.—Measurement of lower extremity. Patient lying on the back looked at from of tape, hands, and limb to be noted. long outside splint is held to the side by a swathe aboutthe body and splint. The patient should then be carefullyplaced upon a stretcher (a Bradford frame is an ideal form ofstretcher) improvised for the occasion. With this apparatussnugly applied, the patient may be securely and comfortablytransported. The objects of treatment are to reduce the fracture, to main-tain the reduction immobilized until union is firm, and to restore THE SHAFT <)!• THE FEMUR 283 the leg to its normal usefulness. In the treatment of two of thethree varieties of fracture of the femur permanent traction uponthe lower fragment and permanent countertraction upon theupper fragment are necessary.
Size: 1057px × 2364px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
