. A new manual of surgery, civil and military. he screw so that the screwwill fit tightly. Enough screws should be introduced to hold the plate veryfirmly. The wound is closed by allowing the muscles to fall together and simplysuturing the fascia and skin and not introducing any catgut deep into thewound in the region of the plates. It is important to secure a very accurate apposition of the skin either byhorsehair or metal clips, so that there will be perfect union by first intention,doing away with any possibility of infection coming from the skin. Drainageshould never be used. SURGERY OF TH
. A new manual of surgery, civil and military. he screw so that the screwwill fit tightly. Enough screws should be introduced to hold the plate veryfirmly. The wound is closed by allowing the muscles to fall together and simplysuturing the fascia and skin and not introducing any catgut deep into thewound in the region of the plates. It is important to secure a very accurate apposition of the skin either byhorsehair or metal clips, so that there will be perfect union by first intention,doing away with any possibility of infection coming from the skin. Drainageshould never be used. SURGERY OF THE EXTREMITIES 671 9. A plain, sterile dressing should be applied and the extremity should beimmobilized, either by splints or plaster-of-Paris, so that unnecessary strainwill not be placed upon the plates. Immobilization should be continued the same length of time as if the plateshad not been used. Removal of plates. If a plate has been placed subcutaneously and causesanv annoyance it should be removed as soon as union has taken place. Plates. yame case as shown in preceding illustration, showing Lane plate in place. placed so that they are covered with muscle will seldom have to be removed ifthey have been introduced absolutely aseptic. As surgeons in general increasetheir technique, both as to manual dexterity and cleanliness, fewer plates willhave to be removed. A plate or screw placed across or through the epiphyseal line should beremoved after union has taken place. In over two hundred cases of simple fractures operated during the pasteight years, the authors have found it necessary to remove plates from eightper cent, of cases. 672 SURGERY OF THE EXTREMITIES
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
