Atlas and epitome of traumatic fractures and dislocations . omen by means of a broad strip of adhesiveplaster passed around the entire body and thigh. A plaster-of-Paris dressing is sometimes indispensableif the patient is to be transported, or if delirium tremensmakes its appearance. It is becoming more generallyused, as it enablesthe patient towalk at an earlyperiod and per-mits ambulatorytreatment. [In fracture ofthe shaft of thefemur, the follow-ing dressing is avery satisfactoryone: First exten-sion with heavyweights in aslightly flexedand abducted po-sition. The thighis then fixed withfo
Atlas and epitome of traumatic fractures and dislocations . omen by means of a broad strip of adhesiveplaster passed around the entire body and thigh. A plaster-of-Paris dressing is sometimes indispensableif the patient is to be transported, or if delirium tremensmakes its appearance. It is becoming more generallyused, as it enablesthe patient towalk at an earlyperiod and per-mits ambulatorytreatment. [In fracture ofthe shaft of thefemur, the follow-ing dressing is avery satisfactoryone: First exten-sion with heavyweights in aslightly flexedand abducted po-sition. The thighis then fixed withfour to six well-padded splintsheld in place bytapes whichbuckle. The ex-tension preventsshortening, thesplints hold the movable fragments in good apposition. This dressing hasthe advantage over permanent plaster because it allows thedaily examination of the seat of fracture. The posteriorsplint should be well padded to fit tlie normal curve of thefemur and prevent the angular deformity which is not un-common in this direction, if not prevented. This dress-. Fig. 131.—Vertical suspension for fractureof the femur in a child. The traction also pro-duces abduction of the injured leg, as shownby the oblique position of the pelvis. 280 FRACTURES AND DISLOCATIONS. ing is illustrated by Scudder.^ In a large surgical clinicfractures of the shaft of the femur united with markeddeformity very frequently come for treatment, demonstrat-ing the great tendency for not only overriding of the frag-ments, but marked angular deformity in these we seldom observe this deformity in the large numberof cases treated in the surgical wards, where this methodof treatment with daily supervision is followed.—Ed.]
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
