. Nursing : its principles and practice for hospital and private use . means by which constanttraction upon the leg can be kept up, in order to over-come the contraction of the muscles, which tends to dis-place the two ends of the fractured bone. One meansof applying this is by the use of Bucks extensionapparatus, of which several modifications have beenintroduced. The materials required for this exten-sion are moleskin adhesive straps, bandages, a modifiedVolkmann slide, the combined bed-cradle with pulleys,weights, and blocks for elevating the foot of the bed,so as to obtain counter-extensio
. Nursing : its principles and practice for hospital and private use . means by which constanttraction upon the leg can be kept up, in order to over-come the contraction of the muscles, which tends to dis-place the two ends of the fractured bone. One meansof applying this is by the use of Bucks extensionapparatus, of which several modifications have beenintroduced. The materials required for this exten-sion are moleskin adhesive straps, bandages, a modifiedVolkmann slide, the combined bed-cradle with pulleys,weights, and blocks for elevating the foot of the bed,so as to obtain counter-extension by utilizing the body-weight. These appliances the nurse should have readywhen the surgeon comes to put up the fracture. Thestraps should be cut as in Fig. 8, and slipped through THE BRADFORD FRAME ZIS the small cross-bar of wood; each strap should b--two inches wide, and long enough to extend up theside of the leg and to include at least the lower thirdof the thigh. The entire limb should also be preparedby being shaved and freshly bathed. The straps may Fig. Bucks Extension Appaeatus. be heated for application by holding them over analcohol flame or by pressing the non-adhesive surfacesagainst a hot-water can just before they are to be used. Where the movement of a limb is to be restricted,sand-bags are used: these are made of ticking of dif-ferent lengths and covered with rubber cloth. Theweight of the bed-clothes is removed by means of thebed-cradle. The Bradford Frame.—By this surgical apparatuswe are able to secure practical immobility of the wholebody. It consists of a rectangular frame made of gaspiping a few inches longer than the patient for vvhomit is intended, the breadth equalling that from tip totip of his shoulders. The frame is covered with twobroad strips of canvas which are fastened around thepiping in such a way that the canvas is stretched these means the sagging which would occur with amattress can be prevented. Between the two strips anope
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