. Medical and surgical report. previouslyexisting gumma of the neck of the femur,predisposing to fracture at that point. Thepatient was intractably filthy in her of the nail hole, which occurredon the seventeenth day after insertion,promptly subsided after removal of nail andapplication of wet dressing. Patient died ofher myocarditis a week after her temperaturehad reached normal. The nail broke at itsjoint under no undue strain. (Traction be-tween 10 and 15 pounds.) Case VI. Fritz D., aged forty-eight ( service, City Hospital). October 27, 1912. A confirmed drunk
. Medical and surgical report. previouslyexisting gumma of the neck of the femur,predisposing to fracture at that point. Thepatient was intractably filthy in her of the nail hole, which occurredon the seventeenth day after insertion,promptly subsided after removal of nail andapplication of wet dressing. Patient died ofher myocarditis a week after her temperaturehad reached normal. The nail broke at itsjoint under no undue strain. (Traction be-tween 10 and 15 pounds.) Case VI. Fritz D., aged forty-eight ( service, City Hospital). October 27, 1912. A confirmed drunkard,fractured his thigh while intoxicated. He haddelirium tremens four days after icterus. Condition gradually im-proved. November 1. Two-piece nail inserted; noanesthesia; 19 pounds traction. November 2. Comfortable, November 3. Again developed delirium; irrationalmonia, to which he promptly succumbed. November 5. X-rays, taken while in delirium, show broken nail held inplace by tongs (Fig. 25). No Fig. 25.—Case VI. A two-piecenail which broke at the pieces were held at ap-proximately right angles bythe tongs (which do not showin the picture) and so con-tinued to exert traction. Developed a pneu- CERTAIN ASPECTS OF THE OPERATIVE TREATMENTOF FRACTURES A. TJie Freeing of Fragments Preliminary to Operative Reduction}In descriptions of the open treatment of fractures, especially fractures ofthe femur, very little is said of that part of the operation which consumesthe most time, namely, the freeing of the fractured ends. One usuallysees a rapid exposure of the bone surfaces nearest the operator; after this,the speed of the operation diminishes, as the difficult and laborious freeingof the posterior surfaces goes on. From time to time, attempts at reduc-tion are made, followed by further freeing of the soft parts. Finally, witha good deal of effort, reduction is accomplished, and position is maintainedby bone-holding appliances; the rest is
Size: 1341px × 1864px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
