The practice of surgery . -. We should treat fractures of the internal epicondyle, of theinternal condyle, of the external condyle, and T-fractures intothe joint in the acutely flexed position. H. L. Smith, of the BostonCity Hospital, was the first surgeon to demonstrate the value of theacutely flexed position, and a wide experience of many surgeons hasshown that this position actually reduces antl holds reduced the frac-tures we are discussing. ^. Fig. 569.—Supracondyloid fracture of tlic liuincrus. Method of reductionbefore applying retentive splint. Countertraction on upper arm. Traction on
The practice of surgery . -. We should treat fractures of the internal epicondyle, of theinternal condyle, of the external condyle, and T-fractures intothe joint in the acutely flexed position. H. L. Smith, of the BostonCity Hospital, was the first surgeon to demonstrate the value of theacutely flexed position, and a wide experience of many surgeons hasshown that this position actually reduces antl holds reduced the frac-tures we are discussing. ^. Fig. 569.—Supracondyloid fracture of tlic liuincrus. Method of reductionbefore applying retentive splint. Countertraction on upper arm. Traction oncondyles of humerus with right hand; backward pressure with thumb of left illustrative of method of beginning acute flexion (Scudder). Says Scudder in regard to method: The condyles of the humerusare grasped by the thumb and finger of one hand; a finger of the otherhand is placed in the bend of the elbow\ Traction is made upon theforearm, and it is slowly flexed to an acute angle. While the for(>armis being flexed, traction and lateral pressure are brought to bear tiponthe loose fragments of the humerus, to correct existing degree of flexion will be determined by the obstruction offeredby the local swelling. This acutely flexed position is maintained by anadhesive-plaster strap. There are certain precautions to be taken anddangers to be avoided in our use of the acutely flexed position; especi-ally must we ins
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
