A practical treatise on fractures and dislocations . one of the staples situated behind the patient in the direction ofthe axis of the limb. A wetted linen roller is next to be tightlyapplied just above the knee, and upon this a leathern strap is to bebuckled, having two short straps with rings at right angles with the 1 Cock and Morgan, Chelius, op. cit., vol. ii. p. 242, note by 650 DISLOCATIONS OF THE THIGH, circular part; or, instead of this, a round towel made in the knotcalled the clove-hitch. The knee is to be slightly bent, but not quiteto a right angle, and brought across the
A practical treatise on fractures and dislocations . one of the staples situated behind the patient in the direction ofthe axis of the limb. A wetted linen roller is next to be tightlyapplied just above the knee, and upon this a leathern strap is to bebuckled, having two short straps with rings at right angles with the 1 Cock and Morgan, Chelius, op. cit., vol. ii. p. 242, note by 650 DISLOCATIONS OF THE THIGH, circular part; or, instead of this, a round towel made in the knotcalled the clove-hitch. The knee is to be slightly bent, but not quiteto a right angle, and brought across the opposite thigh a little abovethe knee. The pulleys being now attached, the extension is to becommenced. A very simple and efficient mode of making the extension, if onehas not the pulleys, is to employ for this purpose a small rope, theends being tied together and the rope being then doubled upon itselfonce or twice, so as to make four or eight parallel cords. The oppo-site ends of this bundle of ropes being made fast to the limb and the Fig. Reduction of a dislocation on the dorsum ilii, by the Spanish windlass. (Gilbert.) staple, the extension is made by thrusting a stick through its centreand twisting it. I have several times had occasion to resort to this plan ; and indeedit has been for some time known and practised among surgeons in thiscountry,1 having been first, according to Prof. Gilbert, introduced byFahnestock, of Pittsburg, Pa. Jarviss adjuster, to which I have already made allusion when speak-ing of dislocations of the humerus, has been often used with success indislocations of the hip as well as in dislocations of the Itspower is equal to that of the pulleys, while the direction of the forcecan be varied with much greater ease. The most serious objectionsto the instrument as employed for the reduction of dislocations, are itscomplexity and its expensiveness. Mr. Fergusson says that the Lancet for July 26, 1845, contains adescription of a similar
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
