A practical treatise on fractures and dislocations . esrapidly acquire a tolerance, which soon dissipates all feeling of fatigue,and that, after a few hours, or days at most, the patients express them-selves as being more comfortable in this position than in the flexed. Finally, the advocates of complete, natural extension claim that inthis position alone is the triceps most perfectly relaxed, and conse-quently the most important indication, namely, the descent of the olec-ranon, most fully accomplished. In this opinion we also concur; andregarding all other considerations, in the early days o
A practical treatise on fractures and dislocations . esrapidly acquire a tolerance, which soon dissipates all feeling of fatigue,and that, after a few hours, or days at most, the patients express them-selves as being more comfortable in this position than in the flexed. Finally, the advocates of complete, natural extension claim that inthis position alone is the triceps most perfectly relaxed, and conse-quently the most important indication, namely, the descent of the olec-ranon, most fully accomplished. In this opinion we also concur; andregarding all other considerations, in the early days of the treatment,as secondary to this one, we unhesitatingly declare our preference forwhat has been called the position of complete extension, as opposedto flexion, semiflexion, or extreme extension. It only remains for us to determine by what means the limb can bebest maintained in the extended position, and the olecranon processmost easily and effectually secured in place. For this purpose a variety of ingenious plans have been devised, Fig. Sir Astley Coopers method. such as the compress and figure-of-8 bandage of Duverney, withoutsplints; or a similar bandage employed by Desault, with the additionof a long splint in front; the circular and transverse bandages of SirAstley Cooper, with lateral tapes to draw them together, to which alsoa splint was added ; and many other modes not varying essentiallyfrom those already described, but nearly all of which are liable to oneserious objection, namely, that if they are applied with sufficient firm-ness to hold upon the fragment, and Boyer says they ought to bedrawn very tight, they ligate the limb so completely as to interruptits circulation, and expose the limb greatly to the hazards of swelling,ulceration, and even gangrene. How else is it possible to make thebandage effective upon a small fragment of bone, scarcely larger thanthe tendon which envelops its upper end, and with no salient pointsagainst which the compress or th
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
