. Transactions of the Southern Surgical and Gynecological Association . very day, there is moreor less slipping. Usually the physician compromises withthe situation, puts up the fracture partially reduced, andmakes a mental promise to tighten the dressings each dayuntil there is proper apposition. This promise is rarelyredeemed. I give a few quotations from recent text-books pertainingto the results of plans of treatment: Parks Surgery, 1907—If one is insistent upon a mini-mum of deformity, confinement upon the back on a bed isthe surest way to obtain satisfactory results. Da Costas Surgery, 1
. Transactions of the Southern Surgical and Gynecological Association . very day, there is moreor less slipping. Usually the physician compromises withthe situation, puts up the fracture partially reduced, andmakes a mental promise to tighten the dressings each dayuntil there is proper apposition. This promise is rarelyredeemed. I give a few quotations from recent text-books pertainingto the results of plans of treatment: Parks Surgery, 1907—If one is insistent upon a mini-mum of deformity, confinement upon the back on a bed isthe surest way to obtain satisfactory results. Da Costas Surgery, 1907.—If the patient is a girl, itis desirable to minimize the deformity. Place her on herback upon a hard bed, with a small pillow under her head,a firm, narrow cushion between the shoulders, a bag of shotresting over the seat of the fracture, and the forearm restingon the front of the chest, the arm being held to the side by asandbag. In three weeks there will be union, practicallywithout deformity. Stimsons Fractures and Dislocations, 1907.—The physi- Plate I. Position of patient for reduction of fracture and application of plaster-of-Paris splint. W. F. WESTMORELAND 561 cal obstacles that need to be overcome in the treatmentare so great, and the success that has attended the differentmethods has often been so moderate, that the number ofplans that have been proposed and employed is very great;and the history of the treatment shows mainly a recurrence ofperiods marked at first by elaborations and multiplication ofdetails and precautions, and then by abandonment of themall and the substitution of something very simple. Stimsonsuggested a similar plan to Da Costas, and mentions a casewhere, in addition, digital pressure was made upon thefragments during the whole treatment to insure and Roberts also suggested similar plans of treatment. These are only some of the complicated measures thathave been suggested to prevent subsequent deformity. The idea that ev
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