The practice of surgery . ng. Fractures of the Thigh in Children.—At the MassachusettsGeneral Hospital we have for many years dressed these fractures in asuspended position. This dressing is perfectly comfortable. Thechild lies upon a Bradford frame and has draped over him such appar- 904 MINOR SURGERY—DISEASES OV STRUCTURE atus as is figured in the text. The pulley exercises constant and properextension; a certain amount of movement of the body is permissible,the child lies restfully, and the results of treatment are satisfactory. The prognosis of all fractures of the shaft of the femur is so
The practice of surgery . ng. Fractures of the Thigh in Children.—At the MassachusettsGeneral Hospital we have for many years dressed these fractures in asuspended position. This dressing is perfectly comfortable. Thechild lies upon a Bradford frame and has draped over him such appar- 904 MINOR SURGERY—DISEASES OV STRUCTURE atus as is figured in the text. The pulley exercises constant and properextension; a certain amount of movement of the body is permissible,the child lies restfully, and the results of treatment are satisfactory. The prognosis of all fractures of the shaft of the femur is somewhatdubious. We can. as a rule, promise the patient a useful leg; but wecannot justly promise him always a leg without deformity, or a legfree from a certain amount of stiffness and weakness. We shouldkeep him under observation, if he be an adult, for six months at least,and for a year if possible, seeing to it constantly that he does not bearhis weight upon the soft callus in his impatience to hasten Fig. n07.—Fracture of the femur in a child. Note Bradford frame on whichchild rests; the i)osition of the lower extremity. Shoulders and trunk of child heldfixed by straps and swathe. Note coaptation splints, extension, weight, and comfortable position for child. An efficient method of treatment (Scudder). Children also must be kept for at least four months under observation;though the prognosis as regards deformity and function is generallygood in their eases. We pass now to another interesting fracture, the treatment ofwhich has of late years provoked no little discussion. Fracture of the Patella A certain class of radical operators—not well advised, I believe—have asserted that in every case of fracture of the patella the surgeon,as soon as he sees the patient, should cut down upon the bone andshould suture it. There are two elements in this argument which aredangerous and objectionable; the immediate operation on a recentfracture is followe
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
