. Modern surgery, general and operative. Fig. 397.—Method of using Thomas arm splint for fracture of leg bones (in C. C. S. orbase hospital only). The lower and upper strips of plaster make extension and counter-ex-tension respectively, and are prevented from slipping by encircling bandage or plaster strap-ping. Perforated zinc or calico bandage slings support the fragments and popliteal of the foot is prevented by padding on each side or by a wire foot piece, Thesplint is slung from a, a* and b (Captain R. D. Laurie). weeks, then simply maintain support by sand-bags or molded p
. Modern surgery, general and operative. Fig. 397.—Method of using Thomas arm splint for fracture of leg bones (in C. C. S. orbase hospital only). The lower and upper strips of plaster make extension and counter-ex-tension respectively, and are prevented from slipping by encircling bandage or plaster strap-ping. Perforated zinc or calico bandage slings support the fragments and popliteal of the foot is prevented by padding on each side or by a wire foot piece, Thesplint is slung from a, a* and b (Captain R. D. Laurie). weeks, then simply maintain support by sand-bags or molded pasteboardsplints upon the part, and keep up this support three to five weeks removing the extension he can be transferred daily to a couch. In fromsix to eight weeks after the infliction of the injury he can be moved about in awheeling-chair, the leg being extended or the knee flexed in accordance with the. Willii^Hlinll:HllliHi|l|M!!iil!.|!.h!M!r|TTril(iiin||i|i|iVi|MTiM-Ull|ll|liininiNi^ Fig. 398.—Fracture of thigh put up in Thomass splint. dictates of comfort. After a week or so of such movement a thick-soled shoeis placed on the sound foot and the patient is allowed to use crutches; but weightis not put upon the injured extremity until from ten to twelve weeks haveelapsed from the time of the accident. For many months, at least, and possiblypermanently, he walks with the aid of a cane. Union, if it takes place, is usuallycartilaginous, but is sometimes bony, and there will surely be some shorten-ing and also some stiffness of the joint. Passive motion is not made until atleast eight weeks have elapsed since the accident. Treatment by theextension apparatus is far from satisfactory, as it does not afford sufficientimmobilization. 672 Diseases and Injuries of the Bones and Joints Treatment by Thomases Splint.—Scudder, in his valuable treatise on TheTreatment of Fractures, advocates
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