. Medical and surgical report. may be required to pre-vent the end of the traction wire from slippingoff a nail end. Where tongs are used, the trac-tion should be made upon the ends of thecrossed limbs, not at the point where they cross(Fig. 6). F. Anesthesia. There may be a shortgeneral anesthesia, either laughing-gas orgether rausch, or there may be a local anes-thesia ( novocaine) in the cases wherethe former is contraindicated. In intelligentadults it is possible to do without an anes-thetic, for the pain of the boring is by nomeans unbearable. Indeed, most of the painis felt at the si
. Medical and surgical report. may be required to pre-vent the end of the traction wire from slippingoff a nail end. Where tongs are used, the trac-tion should be made upon the ends of thecrossed limbs, not at the point where they cross(Fig. 6). F. Anesthesia. There may be a shortgeneral anesthesia, either laughing-gas orgether rausch, or there may be a local anes-thesia ( novocaine) in the cases wherethe former is contraindicated. In intelligentadults it is possible to do without an anes-thetic, for the pain of the boring is by nomeans unbearable. Indeed, most of the painis felt at the site of fracture. G. Amount of Weight. In recent frac-tures this varies between 10 and 30 pounds;in old fractures between 20 and 60 speaks of one case where an oldfracture with malunion was refractured, nail-extension was applied, and a lengthening of11 cm. was obtained within eight days. Assaid before, most of the stretching is done in the first week, after whichless weight suffices to maintain proper Fig. 8.—Crosses indicate properlocations for insertion of nails inthe neighborhood of the kneejoint. (Steinmann.)
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
