Annual and analytical cyclopaedia of practical medicine . tal im-])ortance. Premonitory signs of demen-tia must be watched for, and if the pa- FKACTUKES. 30^ tient seems to be failin*i- he must begotten out of bed, whetlier his thigh hasunited or not. In this event the hipshould be disturbed as little as possibleand the patient allowed to recline in awheel-chair. Pressure over the trochan-ter will encourage union, the pressure tobe made by a pad under a pelvic bandworn as tight as is compatible with thepatients comfort. Energetic manipulations either forthe purpose of eliciting crepitu
Annual and analytical cyclopaedia of practical medicine . tal im-])ortance. Premonitory signs of demen-tia must be watched for, and if the pa- FKACTUKES. 30^ tient seems to be failin*i- he must begotten out of bed, whetlier his thigh hasunited or not. In this event the hipshould be disturbed as little as possibleand the patient allowed to recline in awheel-chair. Pressure over the trochan-ter will encourage union, the pressure tobe made by a pad under a pelvic bandworn as tight as is compatible with thepatients comfort. Energetic manipulations either forthe purpose of eliciting crepitus or cor- but llodgens is more convenient for thepatient, and should be preferred for theaged. In Bucks extension the traction ismade ])v weight and pulley over the footof the bed, which may be raised for coun-ter-extension. It is applied as follows:x\ strip of stout adhesive plaster (the so-called moleskin-diachylon plaster, al-though it is rather difficult to apply, re-quiring to be heated before it will adhere,—and if overheated it will blister the. Fig. 12.—Volkinanns sliding rest for fracture of the thigh. (American Text-book of Surgery.) recting deformity have a tendency to tearthe periosteum still farther and to sepa-rate impacted fragments. Such shorten-ing or eversion as cannot be overcome bythe traction splint is best left uncor-rected, lest non-union be courted. Trac-tion should be continued for at least fiveweeks and the patient kept in ])ed a weeklonger. The best traction-splints areBucks and Hodgens. Bucks is themore convenient for the surgeon, permit-ting accurate examination and measure-ment without disturbin- the dressiner; skin,—is least irritating), four incheswide and long enough to reach from wellabove the knee loosely around the sole ofthe foot aiul back above the knee again,is cut as shown in Fig. !>, and a smallperforated block of wood placed at itscentre. Through the hole in the woodand a corresponding one in the ))laster acord is passed, so kn
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