A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . e. Asplint of gutta percha,pasteboard, felt, copper orzinc moulded to the palmarsurface of the member andto the finger-tip is a neatand effective fracture apparatus. If the proximal phalanx is theseat of lesion, such a splint should include the palm and cylindrical pad in the palm, with the fingers closed over it and keptso fixed by adhesive plaster, as described under fractures of the meta-carpus, is often a good dressi
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . e. Asplint of gutta percha,pasteboard, felt, copper orzinc moulded to the palmarsurface of the member andto the finger-tip is a neatand effective fracture apparatus. If the proximal phalanx is theseat of lesion, such a splint should include the palm and cylindrical pad in the palm, with the fingers closed over it and keptso fixed by adhesive plaster, as described under fractures of the meta-carpus, is often a good dressing. A good straight palmar splint, thecircular gypsum dressing or continued extension by a rubber bandmay, in certain circumstances, be more advantageous. If necessary,the finger or fingers adjoining the broken one may be used for givinglateral support, or two or three fingers may have to be kept motion-less by a wide splint in order to immobilize the injured member. Amputation is frequently demanded in fractures of a complicatedcharacter. Conservatism, however, should be the rule, for a portionof a finger or a stiff one is often better than none. Especially is. Gutta percha splint for finger. (Hamilton.) FRACTURES OF THE FEMUR. 451 preservation of the smallest apology for a thumb desirable, in orderthat the patient may have something to oppose to the other fingerswhen grasping objects. After cure is complete the mechanic can testthe utility of the hand for a few months, and then, if the deformedfinger is a detriment to bread winning, it may be removed by amputa-tion with little risk. Fractures of the at the Upper End of the Femur. Of these there are fractures of the neck which may involve thegreater trochanter or head, fractures detaching the greater trochanterand fractures through the base of the trochanter and upper end of theshaft. The first variety is common. The others are exceedingly rareand may be dismissed with a few words at this time. Pathology.—Fra
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