A practical and systematic treatise on fractures and dislocations . cord which reachesfrom the loop of adhesive strips over the foot rail of the fastening to the limb may be made with a piece of belt 200 F,EACTURES. leather secured to the thigh above the knee with leather baud may have loops fastened to each side of it,from which cords extend over the foot of the bed for the pur-pose of sustaining weight. It is well to have the knee gentljflexed by means of a sand bag or cushion placed under thejoint. Instead of producing counter-extension with a peri-neal belt, the foot o
A practical and systematic treatise on fractures and dislocations . cord which reachesfrom the loop of adhesive strips over the foot rail of the fastening to the limb may be made with a piece of belt 200 F,EACTURES. leather secured to the thigh above the knee with leather baud may have loops fastened to each side of it,from which cords extend over the foot of the bed for the pur-pose of sustaining weight. It is well to have the knee gentljflexed by means of a sand bag or cushion placed under thejoint. Instead of producing counter-extension with a peri-neal belt, the foot of the bed may be raised on blocks, to givethe ]3atients body an inclination in the direction of the headof the bed. This dressing is not complete Avithout straightsplints are bound to the thigh ; and sand bags used to obviaterotation. Mr. Burge, of New York, has invented an apparatus fortreating fracture of the femur, which is represented by theaccompanying diagram. The machine has been successfullyemployed in some of the New York hospitals. It holds the Fig. Burges fracture apparatus applied. limb in the straight attitude, but allows the patient to take thesitting posture ; and provides for the escape of alvine evacua-tions without disturbing the fragments of bone. Various in-tricate contrivances have been devised to treat fractures of thefemur, but it is questionable whether they are superior to themore simple plans already described. The most of them aretoo costly for the ordinary practitioner who might not havean opportunity once in ten years to put one of them in prac-tice. To study the different parts entering into the Burgeapparatus, for instance, would require more time than to dressa limb with more simple means. To a practitioner inexpe-rienced in the diiferent machines invented to treat fractures Op the Femur. 201 Fia. 81.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870