American medical digest. . ct asimilar and smaller triangular to the larger cushion, with twolower and two upperdraw loops runningbetween the two,and through whichthe arm is to sides of thesmaller cushion areto be at equal dis-tances from thesides of the larger. Carefully moulda piece of Russianfelt or heavy card-board to the arm,from the shoulderto the elbow, pad-ding it with cotton,and apply it withthe roller. Pass through theloops in the cush-Fis 2- ions ; make the loops tight, fasten the cushions to thebody with the strap going over theshoulder, and the one


American medical digest. . ct asimilar and smaller triangular to the larger cushion, with twolower and two upperdraw loops runningbetween the two,and through whichthe arm is to sides of thesmaller cushion areto be at equal dis-tances from thesides of the larger. Carefully moulda piece of Russianfelt or heavy card-board to the arm,from the shoulderto the elbow, pad-ding it with cotton,and apply it withthe roller. Pass through theloops in the cush-Fis 2- ions ; make the loops tight, fasten the cushions to thebody with the strap going over theshoulder, and the one going round thebody, as shown in Figure 2. The splint, thus constructed andapplied, possesses the following Advantages: 1. Perfect immobility ofthe shoulder. 2. Perfect immobility of the fragmentsof the broken bone. 3. The requisite amount of extensioncan easily be made whenever there isshortening. This is done by paddingwell the lower border of the smallercushion, and securing the forearmsnugly by means of the draw 34 THE AMERICAN MEDICAL DIGEST. 4. Perfect apposition of broken frag-ments. 5. It is applicable to fracture at anypart of the humerus. 6. It is light and comfortable to thepatient. Its construction is not so formidablea matter as the description might makeit appear. A little material, a littletact, and an hours time will serve tocomplete one in good shape. I have now used this splint in casesof both simple and compound fractureof the humerus, and in every instancewith perfect satisfaction. Among its many merits, its chief oneis the perfect immobility which itsecures. Theory and Practice of the Operation forRadical Cure for Hernia. W. T. Stoker, Professor of Anatomyin the Royal College of Surgeons, Ire-land, in a paper on this subject readbefore the British Medical Association,at Dublin, and published in the BritishMedical Journal, says that the openoperation is beating other operationsout of the field, because it offers cer-tainty and precision, and because


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188