Industrial medicine and surgery . essary for restorationof In cases of non-impaction three methods are open to the surgeon:first, the Whitman method as outlined above; second, suspension andtraction in a Balkan frame and Thomas splint; third, open reductionand nailing the fragments in alinement. Jones has developed a framewhich holds the femur in abduction, allows traction and affords an 1 Jour. Am. Med. Assoc, February 20, 1909 (Sluss). FRACTURES 617 easy means of transport. It is of particular value in the case ofcompound fractures (Fig. 155). In war hospitals all thigh and many l
Industrial medicine and surgery . essary for restorationof In cases of non-impaction three methods are open to the surgeon:first, the Whitman method as outlined above; second, suspension andtraction in a Balkan frame and Thomas splint; third, open reductionand nailing the fragments in alinement. Jones has developed a framewhich holds the femur in abduction, allows traction and affords an 1 Jour. Am. Med. Assoc, February 20, 1909 (Sluss). FRACTURES 617 easy means of transport. It is of particular value in the case ofcompound fractures (Fig. 155). In war hospitals all thigh and many leg fractures are being treatedby means of the Balkan frame, suspension and traction. This method,now almost unknown in civil surgery, will probably be largely usedafter the war. The Balkan frame consists of a head frame and a footframe of wood united by longitudinal bars. The wood is white pine, J-£by 2 inches. The head and foot frames consist of two uprights slightlyslanted to form a truncated A. The cross bars which hold these. Fig. 155.—Jones abduction frame for high fractures of the femur. (Injuries to Joints,Second Edition, Oxford War Primers.) uprights together are the width of the bed, at top extending beyonduprights on either side, while the lower joins the uprights at the levelof the mattress. The longitudinal bars are two in number, resting on the uppercross bars and retained in any desired position by reciprocal notches(mortise joint). The exact measurements are as follows: height of side bars, headand foot frame, 6 ft. 6 in.; length of upper notched transverse bar,3 ft. 3 in.; length of lower transverse bar, width of bed at top of mattress;length of longitudinal frame connecting bars, 8 ft. 8 in. The head and foot frames are set up and attached to the bedwith rope; they are then joined by the two longitudinal bars whichlock by their reciprocal notches in the upper cross piece of the head 618 INDUSTRIAL MEDICINE AND SURGERY and foot frames, making the whole frame
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