A practical treatise on fractures and dislocations . by 2 inchesis heavy enough. The angle made by these pieces is braced, and astrap of hoop-iron outside makes it very strong. In the horizontalpiece two slots are cut wide enough to allow the iron pulleys to passthrough, and of sufficient length to allow the patient to draw himselfup and down in bed. A J inch iron wire passes the whole length ofthis piece above the slots, steadied by small staples, so that it may be withdrawn. On this the upper pulleys run. The wire shields i 1 above these slots are to prevent the bed-clothes from resting upon
A practical treatise on fractures and dislocations . by 2 inchesis heavy enough. The angle made by these pieces is braced, and astrap of hoop-iron outside makes it very strong. In the horizontalpiece two slots are cut wide enough to allow the iron pulleys to passthrough, and of sufficient length to allow the patient to draw himselfup and down in bed. A J inch iron wire passes the whole length ofthis piece above the slots, steadied by small staples, so that it may be withdrawn. On this the upper pulleys run. The wire shields i 1 above these slots are to prevent the bed-clothes from resting upon therollers. The pulleys or wheels are fastened in the rubber tubes by makinga few turns of copper wire around the iron screw of the pulley. Thisis pushed into the tube and bound outside with fine wire. Fig. Van Wagenens suspension apparatus. Rings of rope large enough to pass over the foot are then putthrough the lower pulleys. If these rings open, or the foot is slippedout of them, the leg is taken down without any of the apparatus aboutit, and the large wire may be withdrawn and the leg lowered, with thepulleys and rings still There are a few cases in which a very much better position of thefragments can be secured by placing the patient under the influence of 1 Van Wagenen, Med. Kecord, April 1, 1873. FRACTURES OF THE TIBIA AND FIBULA. 493 an anesthetic, and by applying the dressing daring complete anaesthe-sia. But the surgeon needs to be warned of two things in this connec-tion : first, that just as much harm can be done to the soft parts byviolent wrenching and pushing when he is insensible as when he isfully conscious; second, that while the patient is passing under theinfluence of an anaesthetic he is liable to violent muscular spasms,which may do serious injury. In su
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
