A practical treatise on fractures and dislocations . en reclining, the forearm may, if thepatient chooses, be extended. If the entiredressing is well stitched, it is not much liableto disarrangement, and may be worn two orthree weeks at a time without removal; butfrom time to time, as the swelling subsides orthe muscles atrophy, the bandages may needto be tightened by overstitching, or by sup-plementary rollers. I have been thus minute in my description ofthis dressing, because its value depends upon thecare with which the details are carried out; andbecause, essentially, the same dressing is
A practical treatise on fractures and dislocations . en reclining, the forearm may, if thepatient chooses, be extended. If the entiredressing is well stitched, it is not much liableto disarrangement, and may be worn two orthree weeks at a time without removal; butfrom time to time, as the swelling subsides orthe muscles atrophy, the bandages may needto be tightened by overstitching, or by sup-plementary rollers. I have been thus minute in my description ofthis dressing, because its value depends upon thecare with which the details are carried out; andbecause, essentially, the same dressing is used byme in all fractures of the humerus occurringthrough its upper or middle thirds; moreover, I do not wish to be held responsible, in any case, for bad results when dressings are applied in an imperfect or slovenly manner. [Erichsen describes a very useful dressing, consisting of a pad on the inner side of the arm, and a leather splint on the outside and over the shoulder; the hand being supported in a sling, while the elbow remains dependent.]. Apparatus for fracture of theneck of the humerus. (Erich-sen.) SHAFT BELOW THE SURGICAL NECK. 227 If union takes place without overlapping, of course the arm is not maimed bythe fracture; but even when the union occurs with considerable overlapping,the usefulness of the arm is seldom impaired. In case the functions of the armare seriously impaired in consequence of the displacement of the fragments, andmany months or years have elapsed without any improvement, a result which,to say the least, is very uncommon, the surgeon might consider the propriety ofsurgical interference, after the method of Lindner, who cut down and reducedthe fracture, with the result of only a partial reduction, with fibrous union,but it is added, that the functions of the arm were restored. It is my opinion,however, that the discreet surgeon will not find satisfactory reasons for such § 5. Shaft, below the Surgical Neck and above the Base of the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
