The practice of surgery . SPK(1AI> FRACTUUES AND THEIR TREATMENT 901 damage to the soft parts often is cuused even when the fracture is not compoum .^^ find the patient with a fractured femoral shaft lying help-less often in shock and pain; the leg rolled inward or outward, andthethigh deformed by a marked swelling, while crepitus is surgeon should measure such a leg to determine its shortemngrelative to the shortening of the sound leg. Measure from the anterior-superior spine to the tip of the internal malleolus. To the student familiar with gross anatomy, or to the unlearnedo
The practice of surgery . SPK(1AI> FRACTUUES AND THEIR TREATMENT 901 damage to the soft parts often is cuused even when the fracture is not compoum .^^ find the patient with a fractured femoral shaft lying help-less often in shock and pain; the leg rolled inward or outward, andthethigh deformed by a marked swelling, while crepitus is surgeon should measure such a leg to determine its shortemngrelative to the shortening of the sound leg. Measure from the anterior-superior spine to the tip of the internal malleolus. To the student familiar with gross anatomy, or to the unlearnedobserver even, it must seem incredible that a fractured feinora shaftcould be treated by a graduate in medicine, with the result of a strikingdeformity and serious shortening of the leg; yet I have been a witnessin an entirely justifiable law-suit brought against a reputable physicianwho treated for three months a fractured femur in a child of_ six years,with the result that the femur was allowed to unite at a right angle. v\. fin9 Fracture of the thigh. Extension strips apphed. Cotton ^lliXsTrSfpa,Id coaptation splints about the seat of fracture, btrapsand buckles (Scudder). and with marked shortening, while the child walked with an ugly limpFractures of the femur are not easy to treat. They call for constantinspection, frequent measurements, the reapplication of apparatus, ^^^The%!atmmt of fractures of the shaft of the femur is a subjectmore or less open to discussion. There are those who maintain thatthe best treatment is by abduction, extension, and immobihzation ma plaster-of-Paris spica extending from the toes to the «F^e of rt^^ilium I do not feel that this is a proper dressmg for a fracture of theshaftin the case of an adult. Sometimes it may do m the case of arestless and intractable child. Fractures of the femoral shaft areextremely difficult of coaptation and of proper immobihzation. l^orthis reason such fractures should be dressed in an appara us which wa
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
