A practical treatise on fractures and dislocations . acture, occurring just below the trochanter minor,and a similar fracture just above the condyles, or in certain cases offractures in children, or in very old people, but who, nevertheless, givea decided preference to the straight splint in those oblique fractures ofthe shaft which constitute by far the greatest proportion of all theseaccidents. Among these, I will mention the names of Nott, of NewYork, Pope, of St. Louis, Mo., and Eve, of Nashville, Tenn. and Weir, of this city, retain the double-inclined plane only infractures of
A practical treatise on fractures and dislocations . acture, occurring just below the trochanter minor,and a similar fracture just above the condyles, or in certain cases offractures in children, or in very old people, but who, nevertheless, givea decided preference to the straight splint in those oblique fractures ofthe shaft which constitute by far the greatest proportion of all theseaccidents. Among these, I will mention the names of Nott, of NewYork, Pope, of St. Louis, Mo., and Eve, of Nashville, Tenn. and Weir, of this city, retain the double-inclined plane only infractures of the upper third. At the German Hospital, in this city, under the observation ofDrs. Krakowizer and Guleke, visiting surgeons, five cases are reportedas having been treated by Bucks extension and one by plaster of extension had given the best results. At the Presbyterian 432 FRACTURES OF THE FEMUR. Hospital, also, Dr. D. M. Stimson reports that Bucks extension isgenerally employed. Drs. Gouley, Mason, Sayre, Sands, of Bellevue Fig. ,?..., ...-r/^ Burges apparatus applied. Hospital, prefer the plaster of Paris. Dr. Alfred C. Post, Professorof Surgery in the University Medical College, speaks as follows : My ordinary practice is to treat fractures of the femur by exten-sion with a weight and pulley. The method seems to me as nearlyperfect as any plan of human device can be, in promoting the comfortof the patient, in facilitating the urinary and fecal evacuations, and insecuring union without deformity. In some cases union occurs ab-solutely without shortening, and in other cases the shortening is soslight as only to be detected by careful measurement. In cases care-fully treated by this method it is rare to meet with shortening muchexceeding half an inch. I have never seen a case of simple fractureof the femur treated in this way in which there was any such shorten-ing or deformity as I have seen in some cases which have been treatedby the use of plaster
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
