British medical journal . ge tube should be inserted dowu to, but notbetween, the bone fragments—the tube coming out throughthe centre of the pack. The operation completed, all that remains to be doneIS to immobilize the limb. Incomplete fixation may leadto failure, iu spite of the most careful operative treatment. Fixation by Tlioiiiass S/i/ui/. A Thomas splint outfit. pr{)perly used, is the simplestand most cflicieut method of obtaining complete fixation. The detail of the application is, shortly, as follows (seeFig. 2) : 1. Tlie siis2>eiisoiy slinij is removed from the ankle andthe limb
British medical journal . ge tube should be inserted dowu to, but notbetween, the bone fragments—the tube coming out throughthe centre of the pack. The operation completed, all that remains to be doneIS to immobilize the limb. Incomplete fixation may leadto failure, iu spite of the most careful operative treatment. Fixation by Tlioiiiass S/i/ui/. A Thomas splint outfit. pr{)perly used, is the simplestand most cflicieut method of obtaining complete fixation. The detail of the application is, shortly, as follows (seeFig. 2) : 1. Tlie siis2>eiisoiy slinij is removed from the ankle andthe limb is supported by an orderly. 2. Ajqlication of Ikindage.—It is not neces-sary to shave the limb. Iaint tlie entire circumferencefrom the malleoli upwards, sufficiently hieh to allow tho 214 Tll» BRmsa TIfEOtCit. JocaxAl. J COMPOUND TRACTUEE OF FEMUR. [AUG. iS, 1917 extension to get a good pull on the lower fragment, -with aglue solution, oi wliicb the formula is— aa 50 per cent. i per cent. aa 2 per Fig. 2.—Fracture of femur. Diagram of application of Thomas splint outfit for transport of fracture of femur. Glue 1 Water) Thymol Glycerin ) Caic. chloride) A shaviuy or small painters brnsh is used for applying theglue, liuriiig an actioQ a pot of this glue should always bekept ready melted. The glue will become too thick after a,time, and a little water should then be added. Next apply, on eitber side of the limb, a lengtb of bleachedcalico bandage,and run a rollerbandage roundthe limb. 3. Applica-Hon of Splint.^The ring ofthe spliut ispassed OTerthe foot andpushed up-wards, untilthe posteriorpart of thering pressesfirmly againstthe ischialtuberosity. 4. Tightening of Extension Bandage (Figs. 3 and 4).—•The surgeon takes au extension bandage in each hand andpasses one of them over, the other under, the lateral barsof the Thomas spliut. First one bandage and then theother is thereafter passed round the notch in the crossbar,a complete turn being taken
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
