. A practical treatise on fractures and dislocations. rds of the New YorkHospital differentiate be-tween fractures of the neckand of the shaft thirty-threecases of the former were re-ceived, with one death; butas the average stay was onlythirty days, it is probablethat fully half of them weretransferred to other institu-tions within a day or twoafter their receipt, and theactual mortality was and Newell,^ tab-ulating the cases receivedduring three years at theEpiscopal Hospital, Phila-delphia, found fifty-eight ca-ses with sixteen deaths. The promptly fatal casespresent three
. A practical treatise on fractures and dislocations. rds of the New YorkHospital differentiate be-tween fractures of the neckand of the shaft thirty-threecases of the former were re-ceived, with one death; butas the average stay was onlythirty days, it is probablethat fully half of them weretransferred to other institu-tions within a day or twoafter their receipt, and theactual mortality was and Newell,^ tab-ulating the cases receivedduring three years at theEpiscopal Hospital, Phila-delphia, found fifty-eight ca-ses with sixteen deaths. The promptly fatal casespresent three principal forms:in one the primary inflamma-tory reaction is sharp, feversets in, the patient becomesdelirious and dies within afew days, or pneumonia isdeveloped soon after the ac-cident and proves fatal. In another the patient, old and feeble, seemsoverwhelmed by the mental and physical shock and dies within two orthree days. In the third form the patients strength fails rapidly with-1 Ashhurst and Newell: Annals of Surgery, 1908, vol. 48, p. Ununited fracture of the neck of the femur, showing thehypertrophied outer fasciculous of the Y-ligament support-ing the weight of the body in walking. (Bigelow.) FRACTURES OF THE FEMUR. 377 out much inflammatory reaction from the injury, an., he dies mild deUrium, and usually with some pulmonary consolidation,about the third week. It is possible that fat embolism, especially of thelungs, may be an important factor in producing this result. The influ-ence of age upon the prognosis is very well marked, the older the patientthe greater the probability of a fatal termination within a few weeks. The influence of the seat of the fracture upon the prognosis in respectof repair has been discussed above. Speaking generally, union may beconfidently expected in frac-tures at the base of the neck, Fi^- 257and I believe that it is muchmore common after fracturethrough the neck than hasbeen supposed, and that thisfrequency can be
Size: 1317px × 1897px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
