. A practical treatise on fractures and dislocations . Iron knob employed by Skey, instead of the heel. two strong straight branches of the same metal, each ending in a bulbor ring of about four inches in length, the office of which is designedto keep the margins of the axilla as free from pressure as iron knob is to be pressed well up into the axilla and attached tocords fastened to a staple ; the patient lying upon his back or inclineda little to the opposite side. The arm is then to be drawn downwardsby the pulleys, as nearly as possible, parallel to, and in contact withthe bod
. A practical treatise on fractures and dislocations . Iron knob employed by Skey, instead of the heel. two strong straight branches of the same metal, each ending in a bulbor ring of about four inches in length, the office of which is designedto keep the margins of the axilla as free from pressure as iron knob is to be pressed well up into the axilla and attached tocords fastened to a staple ; the patient lying upon his back or inclineda little to the opposite side. The arm is then to be drawn downwardsby the pulleys, as nearly as possible, parallel to, and in contact withthe Fig. Skeys method of making extension and counter-extension with Skey, Operative Surgery, Auier. eel., p. 93. 550 DISLOCATIONS OF THE SHOULDER. In this way Mr. Skey says that he has succeeded in reducing agreat many dislocations, whether occurring in very muscular men, orafter some days, or weeks, or even months duration; and he thinksthe plan especially applicable to cases which require long and per-sistent extension. Mr. Skey and many other surgeons prefer to make the extensionfrom the hand. I have succeeded as well, and it has seemed to beless painful to my patients, when I have followed the practice of SirAstley, and made the extension from the arm. Sir Astley alwaysmade the extension more or less out from the line of the body, andgenerally almost at a right angle when using the pulleys, the scapulabeing made fast by a girt buckled on the top of the acromion, or bya split cloth, as in the accompanying drawing. Fig. 228.
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Keywords: ., bookcentury1800, bookdecade1860, booksu, booksubjectfracturesbone
