. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, faceof the forearm and arm may also be used in the treatmentof these fractures (Fig. 264). Fractures of the Ulna and Radius.—These fracturesare often met with as the result of direct or indirectviolence. Treatment.—After reducing the displacement, which is 376 FRACTURES. always marked when both bones are broken, by makingextension from the ha
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, faceof the forearm and arm may also be used in the treatmentof these fractures (Fig. 264). Fractures of the Ulna and Radius.—These fracturesare often met with as the result of direct or indirectviolence. Treatment.—After reducing the displacement, which is 376 FRACTURES. always marked when both bones are broken, by makingextension from the hand and by manipulation, the forearmis placed in the supine position or in a position betweenpronation and supination. The supine position is, as arule, to be preferred in any fracture of the radius, as theupper fragment is supinated by the action of the bicepsand supinator brevis muscles, and, therefore, unless thelower fragment be placed in the supine position, unionwith rotary deformity will almost inevitably ensue. Two straight wooden splints, well padded, a little widerthan the forearm, are employed. The anterior splintshould be long enough to extend from the elbow to thetips of the fingers, and the posterior splint should extend Fig. Dressing for fracture of both bones of the forearm. from the elbow to the wrist. A primary roller shouldnever be applied to the forearm in dressing these fractures,as its application diminishes the interosseous space, and itsuse has been followed by gangrene of the hand and fore-arm. In applying the anterior splint to the palmar sur-face of the forearm and hand, care should be taken thatthe upper end of the splint does not press upon thebrachial artery and basilic vein at the elbow when theforearm is flexed ; the posterior splint is next applied fromthe elbow to the wrist, and the splints are held in positionby the turns of a bandage carried from the fingers to theelbow (Fig. 274). In dressing this fracture a posterior splint equal i
Size: 2121px × 1178px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
