A practical treatise on fractures and dislocations . inks it is not likely to occur unless the fragments are impacted, but Sir Astley Cooper,Fig. 116. as we have already seen, admitted its possibility whenever the re-flected capsule and the periosteumwere not torn, and at the sametime the fragments were not dis-placed. If to these conditionswe were to add moderate butnot extreme age, with goodhealth, we can see no sufficientreason why, under judicioustreatment, bony union might notoccasionally be expected. Butsuch a combination of circum-stances is probably exceedinglyrare; and, what is more u
A practical treatise on fractures and dislocations . inks it is not likely to occur unless the fragments are impacted, but Sir Astley Cooper,Fig. 116. as we have already seen, admitted its possibility whenever the re-flected capsule and the periosteumwere not torn, and at the sametime the fragments were not dis-placed. If to these conditionswe were to add moderate butnot extreme age, with goodhealth, we can see no sufficientreason why, under judicioustreatment, bony union might notoccasionally be expected. Butsuch a combination of circum-stances is probably exceedinglyrare; and, what is more unfortu-nate, if they exist, the fracture isnot likely to be recognized, andthe surgeon will fail to availhimself of those advantageouscoincidences which might, if un-derstood and properly treated,secure a bony union. Dupuy-(From |-ren sayS) when the fragmentsare not displaced its existencemay be suspected, but cannot bepositively asserted. There will not be wanting, however, examplesin which surgeons will believe or affirm that they have recognized. Impacted fracture within the ) 1 Geo. K. Smith, Insertion of the capsular ligament of the hip-joint, and its rela-tion to intra-capsular fracture. Medical and Surgical Reporter, Philadelphia, 1862. NECK, WITHIN THE CAPSULE, 367 the fracture and wrought the cure. I have heard of many such instances,and Mr. Smith has referred to one, which is quite pertinent, as havingbeen reported in the Gazette des Hopitaux. A woman, set. 64, wastreated for an intra-capsular fracture of the neck of the femur at oneof the hospitals in Paris, and at the end of four weeks she was dis-charged perfectly cured, and without shortening. We fully partakeof Mr. Smiths surprise at the impudence of this claim, yet we do notsee in it much greater improbability than in Mr. Swans case, receivedby both Mr. Smith and Sir Astley himself, where the neck was foundalmost wholly united by bone in five weeks, although the woman was80 years old, and actuall
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