Notes on the modern treatment of fractures . variation in 50 cases measuredwas mm. He investigated 75 cases of united fracture ofthe elbow, treated according to traditional methods, to findthat the average difference on the two sides was mm. Theincreased width was, if I correctly understand him, on the sideinjured. He makes the important statement that in 20 casestreated by acute flexion, the average difference in width afterunion was 1 mm. and that in these same cases the carryingangle was unchanged in 40 per cent. In the 75 cases treatedby various persons in the ordinary ways the car
Notes on the modern treatment of fractures . variation in 50 cases measuredwas mm. He investigated 75 cases of united fracture ofthe elbow, treated according to traditional methods, to findthat the average difference on the two sides was mm. Theincreased width was, if I correctly understand him, on the sideinjured. He makes the important statement that in 20 casestreated by acute flexion, the average difference in width afterunion was 1 mm. and that in these same cases the carryingangle was unchanged in 40 per cent. In the 75 cases treatedby various persons in the ordinary ways the carrying angle wasunaltered in 10 per cent. It is probably true that the conversion of the humero-ulnarangle into a straight line or its change to an angle in the op- CONDYLOID FRArrrilKS OF THE HUMERUS. 81 posite direction lias little effect on the wage-earning capacityof the patient; but it certainly produces an unsightly de-formity and impairs the symmetry and integrity of the humanmechanism. It does not of itself interfere with mobility of. Gunstock Deformity of Left Elbow after Fracture of LowerEnd of Humerus. the joint. I recently saw a young lady who about fifteenyears ago, when a child, broke the condyloid portion of the lefthumerus. I took part in the treatment of the injury, whichwas by means of a rectangular trough-shaped posterior has marked gunstock deformity, as a result of the defec- 82 THE MODERN TREATMENT OF FRACTURES. tire treatment, but has perfect mobility of the joint. Thehand is of course brought nearer the thigh when the linibhangs vertically, but this defect brings no special inconven-ience. It might perhaps be a disadvantage to a woman in thelower walks of life, who was compelled to carry burdens inthe dependent hand. I refer to this patient, because it wasmy dismay at the deformity remaining after the treatmentadopted that first forcibly directed my attention to the disad-vantage incident to right-angle flexion in the management ofthese bony le
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Keywords: ., bookcentury1800, bookdecade1890, bookidnote, booksubjectfractures
