A practical and systematic treatise on fractures and dislocations . consolidation. A great deal of interest attaches,at the present time, to the ques-tion whether bony union everfollows fracture of the cervixfemoris, the line of separationbeing wholly within the is pretty generally admittedamong surgeons who havestudied pathological specimens,that such a fracture, if impacted,may result in consolidation ; butif the break be simple, entirelywithin the capsule, and uncom-plicated with impaction, or tear-ing of the capsular ligament, theConsolidation following impaction. ^niou is most
A practical and systematic treatise on fractures and dislocations . consolidation. A great deal of interest attaches,at the present time, to the ques-tion whether bony union everfollows fracture of the cervixfemoris, the line of separationbeing wholly within the is pretty generally admittedamong surgeons who havestudied pathological specimens,that such a fracture, if impacted,may result in consolidation ; butif the break be simple, entirelywithin the capsule, and uncom-plicated with impaction, or tear-ing of the capsular ligament, theConsolidation following impaction. ^niou is most Hkcly to be liga-mentous and imperfect at that. Much ingenuity has beendisplayed in attempting to account for the lack of bonyunion; the fact that motion between the fragments can notbe arrested by any ordinary apparatus, has some bearing onthe question; the abundance of synovia secreted under theinfluence of prolonged irritation, diluting and otherwise im-pairing the qualities of the reparative materials, is adverse to. J Or THE Cervix Femoris. 181 Fig. 67. consolidation of tlic fracture ; but the chief obstacle to repairseems to reside in the almost complete isolation from vesselsand nerves, to which the head of the bone and remnant ofthe neck are subjected by the fracture. The ligamentum teresis a small band of dense white tissue, Avith scarcely a vascular sign in it. An adequate sup-ply of reparative materialcould not be expected to findits way through such attenu-ated channels. If the frag-ments could be maintained inperfect apposition for a fewdays it is possible that a directunion, similar to what isknown as first intention in wounds of the soft tissues,might occasionally take place,which might in time ensureosseous consolidation. Insome of those rare instancesin which early union is known Ligamentous union following fracture of the tO haVC takcu plaCC after iu-neck of the femur within the capsule. , p , •, i , tracapsular fracture, withoutimpaction, it is probable tha
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
