Modern surgery, general and operative . , ofcases. Horizontal extension fails to cor-rect the displacement of the upper frag-ment in fracture of the upper double inclined plane will not cor-rect the tilting of the upper fragmentwhile shortening exists. Agnew used adouble inclined plane and correctedshortening by the use of extension in theaxis of the partly flexed thigh (Fig. 353).This plan is one of the most serviceable ofthose usually employed, but it too failsto completely correct the , notwithstanding position and exten-sion, the upper fragment projects, itshould b
Modern surgery, general and operative . , ofcases. Horizontal extension fails to cor-rect the displacement of the upper frag-ment in fracture of the upper double inclined plane will not cor-rect the tilting of the upper fragmentwhile shortening exists. Agnew used adouble inclined plane and correctedshortening by the use of extension in theaxis of the partly flexed thigh (Fig. 353).This plan is one of the most serviceable ofthose usually employed, but it too failsto completely correct the , notwithstanding position and exten-sion, the upper fragment projects, itshould be pushed into place and be re-tained if possible by short splints botmd upon the thigh. In many cases aThomas knee-sphnt is the best apparatus. In fracture of the upper thirdwith marked projection of the upper fragment the abduction frame may provesatisfactory. Extension should be continued for four weeks, a plaster-of-Paris ^ Fracture in the Upper Third of the Femur Exclusive of the Neck, by Oscar H. Allis,Medical News, Nov. 21, Fig- 354-—Smiths anterior splint. 596 Diseases and Injuries of the Bones and Joints bandage being used for four weeks more, the patient being then allowed to goabout on crutches. Some surgeons, in fracture of the upper third, apply aplaster-of-Paris bandage to the leg, thigh, and pelvis, extension being made fromthe foot while the dressing is being applied. This method does not give goodresults because such extension will not correct the tilting of the upper anterior splint of Xathan R. Smith is used by some in treating fractures ofthe upper third of the femur (Fig. 354). It is bent to the desired shape, fast-ened to the anterior surfaces of the leg and thigh, and hung to a gallows, thelimb being suspended at the desired height. This splint is open to the same
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
