. Transactions of the Western Surgical Association. re of the femur from the Philadelphia hospitals. Allwere treated by simple Buck extensions. All this shows that there is much to be desired,both in treatment and results, especially for the percentage of cured, that is, not crippled, is from90 per cent in the very youngest, rapidly decreasingto practically none over sixty years. From the agesof sixty to eighty years, 21 lived, 25 died, and only 1was a really complete recovery. From seventy toeighty years, 7 lived and 15 died, with no completefunctional recoveries. Walter M. Brickner
. Transactions of the Western Surgical Association. re of the femur from the Philadelphia hospitals. Allwere treated by simple Buck extensions. All this shows that there is much to be desired,both in treatment and results, especially for the percentage of cured, that is, not crippled, is from90 per cent in the very youngest, rapidly decreasingto practically none over sixty years. From the agesof sixty to eighty years, 21 lived, 25 died, and only 1was a really complete recovery. From seventy toeighty years, 7 lived and 15 died, with no completefunctional recoveries. Walter M. Brickner (Amer. Jour. Surg., January,1917) considers that only three plans are admissiblein fractures of the neck of the femur in the aged:Whitmans reduction and immobilization, an openoperation, or no treatment. No treatment is wellsaid, for no aged person will ever endure the other twoprocedures and live. Estes (Annals of Surgery, July, 1916) estimatesthat only 2 per cent of his femur fractures had accu-rate apposition, and he now subjects 38 per cent to. • ,,;«?•••-•?->?••*•?ill?? X /--•?• JOHN THOMPSON HODGEN NIFONG 193 the open operation. Fractures of the neck are main-tained in forty-five degree abduction, according toWhitman, and in extension and suspension, which iswell. The Hodgen splint is so simple, and is dependenton such basic mechanical principles, it seems strangethat it should be so illy understood and so often poorlyapplied; but that is a fact. I have never seen a Hod-gen splint properly made by an instrument-maker. The splint must be made and applied for each you have seen your patient and made your diag-nosis, put on your Bucks extension, and get the patientinto the proper room and bed; measure from the peri-neum to one and one-half inches below the heel; meas-ure four and one-half or five inches for the cross-barunder the foot; measure, on the outside, from thispoint to the crest of the ilium; go to the blacksmith,and get a piece ab
Size: 1488px × 1679px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, booksubjectgeneralsurgery, booksubjectsurgery
