Notes on the modern treatment of fractures . Fig. 10. Gunstock Deformity of Left Elbow after Fracture of LowerEnd of Humerus. I have been making some experimental observations duringrecent months on the use of nails for direct fixation of frac- 84 THE MODERN TREATMENT OF FRACTURES. tures; having been led to the investigation by my success atthe Philadelphia Polyclinic Hospital in nailing together thefragments of a metacarpal bone. I have found that frac-tures of the condyles of the humerus, made in the cadaver,can be satisfactorily fixed after reduction by driving; wire nails. Fig. 11. Experim
Notes on the modern treatment of fractures . Fig. 10. Gunstock Deformity of Left Elbow after Fracture of LowerEnd of Humerus. I have been making some experimental observations duringrecent months on the use of nails for direct fixation of frac- 84 THE MODERN TREATMENT OF FRACTURES. tures; having been led to the investigation by my success atthe Philadelphia Polyclinic Hospital in nailing together thefragments of a metacarpal bone. I have found that frac-tures of the condyles of the humerus, made in the cadaver,can be satisfactorily fixed after reduction by driving; wire nails. Fig. 11. Experimental fracture of internal condyle (made with osteotome).Fragments kept in position with wire nail driven through skin. Skiagraphtaken with dorsum on photographic plate. through the skin into the bone and across the lines of separa-tion. The accompanying skiagraphs show the method better thana verbal description. I became convinced by this experimental work of the effi-ciency of fixation by means of slender nails, and of the wis- CONDYLOID FRACTURES OF THE HUMERUS. 85 dom of adopting the procedure in the comparatively fewsevere fractures of the humeral condyles needing direct fixa-tion. I have had, however, no personal clinical experienceof such operative treatment in elbow injuries; and my opinion
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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
