The treatment of fractures . Fig. .77.—Fracture- of the olecranon. Arm in extension. Long anterior splint. Note padand strap above olecranon fragment; pad in palm of hand. marked separation (half an inch or more), the arm should beextended and this position maintained by a long internal splint(see Fig. 277). This splint, made of splint-wood, should be thewidth of the arm, and should reach from the anterior axillarymargin to the tips of the fingers. This is well padded withsheet wadding at the bend of the elbow (see Fig. 278). Thecontiguous skin surfaces of the fingers are protected from chafin
The treatment of fractures . Fig. .77.—Fracture- of the olecranon. Arm in extension. Long anterior splint. Note padand strap above olecranon fragment; pad in palm of hand. marked separation (half an inch or more), the arm should beextended and this position maintained by a long internal splint(see Fig. 277). This splint, made of splint-wood, should be thewidth of the arm, and should reach from the anterior axillarymargin to the tips of the fingers. This is well padded withsheet wadding at the bend of the elbow (see Fig. 278). Thecontiguous skin surfaces of the fingers are protected from chafing TREATMENT 215 by strips of gauze or compress cloth placed between them, and apad is put in the palm for comfort (see Fig. 279). The splint isheld in position by four straps of adhesive plaster, one placed ateither end of the splint and one above and below the upper or loose fragment is pushed down toward the shaft ofthe ulna, and held in place by a strap of adhesive plaster carried. Fig. 278.—Fracture of olecranon. Arm in extension. Note upper and lower straps ; obliqueolecranon strap ; padding of splint. around the upper side of the olecranon fragment and fastened tothe splint lower down. Sheet wadding and gauze roller bandagesapplied from the fingers to the axilla afford comfort and preventundue swelling of the hand. Should the separation be so greatthat reduction of the fragment is unsatisfactory, an incision andsuture should be made (see Fig. 279). Treatment if the Fracture is Open.—The wound should, if 2l6 FRACTURES OF THE BONES OF THE FOREARM necessary, be enlarged to permit of easy inspection of thejoint surface. The joint should be thoroughly irrigatedwith boiled water. The wound of the soft parts should bevery thoroughly cleansed by scrubbing with gauze wet in cor-rosive sublimate solution, i : 5000, and then the fragment ofthe olecranon sutured to the shaft.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
