British medical journal . ee-joint. they are easily cleaned and sterilized, and they form noobstacle to .r-ray examinations in the splint. The wholesplmt IS slung by two weights running over pulleys, theupper one of about 4 lb., the lower one of about 8 lb. Tliosem the illustration (Fig. 4) are 75 mm. shell cases, which, usedempty for the former and filled with metal fragments forthe latter, give the exact weight required. The upperweight keeps the U piece constantly on the tuber iscliii,and allows the splint to follow every movemout of theC patients body, as when ho goes on the bedpan. Thalow
British medical journal . ee-joint. they are easily cleaned and sterilized, and they form noobstacle to .r-ray examinations in the splint. The wholesplmt IS slung by two weights running over pulleys, theupper one of about 4 lb., the lower one of about 8 lb. Tliosem the illustration (Fig. 4) are 75 mm. shell cases, which, usedempty for the former and filled with metal fragments forthe latter, give the exact weight required. The upperweight keeps the U piece constantly on the tuber iscliii,and allows the splint to follow every movemout of theC patients body, as when ho goes on the bedpan. Thalower is adjusted so that the foot of the splint will stay inany position in which it is put, and makes it an easymatter to raise or lower it for dressings. I have severaltimes been astonished at the way in which a case whichwas doing badly ou a fixed splint immediately started toimprove when slung in this way. In operating, the wound is regarded as consisting of twodistinct portions—the extra-articular, where infection ia. Fig, 4.—Splint in use; sliowing manner in which thesplint is slung. parried and repair instituted by the establishment ofgranulations; and the articular, where infection is com-bated by the action of the synovial membrane and itssecretion, and where the establishment of granulations,though possibly beneficial in other ways, means impair-ment or loss of function in the joint as such. The extra-articular wound is accordingly cleaned and drained, thearticutation is cleaned, closed, and allowed to fight its ownbattle. Drainage means throwing the two parts into one,with a likelihood of the same process being established in
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
