Modern surgery, general and operative . Fig. 430.—^\Viring of bones for ununited frac-ture: a, a, SawTi surfaces approximated after re-moval of old material which was interposed be-tween the fragments; h-b, b-b, perforations drilledcompletelj across the bone; c, c, ^^ares ready Fig. 431.—IMethod of securing screw of Freemans apparatus in fracture of neck of femur; the woodenplates embracing screws (Freeman, in Annals of Surgerj^ Oct., 1904). a ctu-et, oozing is arrested by presstu*e and hot water, and loose osseous splintersare removed (Freeman). Some surgeons have fixed the frag
Modern surgery, general and operative . Fig. 430.—^\Viring of bones for ununited frac-ture: a, a, SawTi surfaces approximated after re-moval of old material which was interposed be-tween the fragments; h-b, b-b, perforations drilledcompletelj across the bone; c, c, ^^ares ready Fig. 431.—IMethod of securing screw of Freemans apparatus in fracture of neck of femur; the woodenplates embracing screws (Freeman, in Annals of Surgerj^ Oct., 1904). a ctu-et, oozing is arrested by presstu*e and hot water, and loose osseous splintersare removed (Freeman). Some surgeons have fixed the fragments togetherby nails, screws, or pegs of bone or ivory, access to the trochanter being best ob-tained for this purpose b}^ making a second incision over the outer portionof that bony process. As Freeman points out, however, the head is often sover}^ soft that none of these appliances will secure fixation. Freeman has de\dsed a clamp for this purpose (Figs. 431, 432). An addi-tional incision is made over the trochanter and holes are bored for the clamp 694 Diseases and Injuries of the Bones and Joints screws, one hole being drilled through the base of the trochanter, the exter-nal fragment of the neck, and into the head of the bone (Annals of Sur-gery, Oct., 1904). The wound is cl
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
