The practice of surgery . Fig. —Third strap is necessaryto hold the splint close to the flexedelbow (vScudder). SPECIAL FKACTLKES AND THKIK TREATMENT 883 The treatment of an olecranon fracture depends somewhat upon theextent of separation of the fragments. If the fragments He closetogether, the arm may be dressed satisfactorily, and most comfortablyfor the patient, in the right-angled splint; but if there be obviousseparation, the arm should be extended straight and should be boundupon a long splint reaching from the axilla to two inches beyond thefinger-tips; while the small upper fragme
The practice of surgery . Fig. —Third strap is necessaryto hold the splint close to the flexedelbow (vScudder). SPECIAL FKACTLKES AND THKIK TREATMENT 883 The treatment of an olecranon fracture depends somewhat upon theextent of separation of the fragments. If the fragments He closetogether, the arm may be dressed satisfactorily, and most comfortablyfor the patient, in the right-angled splint; but if there be obviousseparation, the arm should be extended straight and should be boundupon a long splint reaching from the axilla to two inches beyond thefinger-tips; while the small upper fragment of the olecranon should besecured and held down in place by a special adhesive strap. If it befound impossible by this means to bring the upper fragment into proper. Fig. 574.—Fracture of the olecranon. Arm in extension. Long anterior pad and strap above olecranon fragment; pad in palm of hand (Scudder). position, the surgeon will do well to cut dowm upon and to wire thefragments. If the fracture is a compound fracture, the surgeon musttake special pains as a preliminary step thoroughly to disinfect theelbows-joint, after w^hich he may wire the fragments. Such are the main points in the diagnosis and treatment of fracturesabout the elbow-joint. A word about old neglected fractures of the elbow-joint ormalunion in spite of treatment. These are peculiarly difficult cases,which fall into that class I have alread}^ described as calling for mostcareful consideration and consultation prior to any radical operation. 884 MINOR SURGERY—DISEASES OF STRUCTURE The classic operation for old crippling deformities of the elbow-joint(usually ankylosis) is a complete excision or removal of the joint andadjacent broken bones. This leaves the patient
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
