A practical treatise on fractures and dislocations . will inevitablycause congestion and swelling, accompanied sooner or later with greatpain and with ulcerations, and simply because the extension is madedirectly upon parts already tender and inflamed from the accidentitself; and when we add to this complete and violent ligation of thelimb near the seat of fracture, a similar ligation of the limb just belowthe knee, for the purpose of making counter-extension, as is done inwhat is known among American surgeons as Hutchinsons splint,1 1 Elements of Surgery, by Jolm Syng Dorsey, vol. i. p. 181.
A practical treatise on fractures and dislocations . will inevitablycause congestion and swelling, accompanied sooner or later with greatpain and with ulcerations, and simply because the extension is madedirectly upon parts already tender and inflamed from the accidentitself; and when we add to this complete and violent ligation of thelimb near the seat of fracture, a similar ligation of the limb just belowthe knee, for the purpose of making counter-extension, as is done inwhat is known among American surgeons as Hutchinsons splint,1 1 Elements of Surgery, by Jolm Syng Dorsey, vol. i. p. 181. Philadelphia, 1813. FRACTURES OF THE TIBIA AND FIBULA, 467 we are prepared to understand how the worst consequences may have once seen, when this abominable apparatus had been used,a complete ring of ulceration below the knee, and another as completearound the foot and ankle. The limb was twice girdled, and yet thesurgeon thought he was performing a duty for the omission of whichhe would scarcely have been regarded as excusable. Fia:. James Hutchinsons splint for extension, etc., in fractures of the leg. (From Gibson.) Jarviss adjuster, a still more mischievous, inasmuch as it is a morepowerful instrument, operating in a similar manner, has been pro-ductive of like consequences ; but Jarviss adjuster is liable to theadditional objection that by its great weight it drags off the limb,turning the toes outwards, an objection which no care or diligence cangenerally overcome. I could wish that neither of these appliances would ever again beimpressed into the service of broken legs. Neill, of Philadelphia, and others have sought to overcome some ofthe difficulties in the way of making extension in fractures of the Fig. 208.
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