The treatment of fractures . steadythe pelvis and upper thigh (see Fig. 388). The surgeon shouldgrasp the thigh above the condyles with both hands, and shouldmake traction in the axis of the limb. lie then determines thepull necessary to be exerted to hold the fragments this pull is maintained by an assistant, the surgeon manip-ulates the thigh in order to learn with what ease or difficulty thefragments may be held in position. THE SHAFT OF THE FEMUR :85 In adults in fracture of the middle of the shaft of the femurtraction and immobilization are best maintained by a modifiedBucks
The treatment of fractures . steadythe pelvis and upper thigh (see Fig. 388). The surgeon shouldgrasp the thigh above the condyles with both hands, and shouldmake traction in the axis of the limb. lie then determines thepull necessary to be exerted to hold the fragments this pull is maintained by an assistant, the surgeon manip-ulates the thigh in order to learn with what ease or difficulty thefragments may be held in position. THE SHAFT OF THE FEMUR :85 In adults in fracture of the middle of the shaft of the femurtraction and immobilization are best maintained by a modifiedBucks extension apparatus. Materials needed for a modifiedBucks extension : Two strips of adhesive plaster, each twoinches wide and long enough to extend from the seat of fractureto the internal malleolus. Surgeons adhesive plaster is nonirri-tating to the skin, and is prepared in rolls of convenient each strip of plaster at the ankle end should be stitched apiece of webbing the width of the plaster and about six inches. -Pulley arranged on broom-handle to be fastened at foot of bed for carrying exten-sion cord. long. Prepare five other strips of adhesive plaster, all of whichshould be one and a half inches wide. Three of these stripsshould be long enough to encircle respectively the leg above themalleoli, the knee above the condyles, and the thigh an inchbelow the seat of the fracture. The remaining two strips ofplaster should be long enough to extend spirally from the mal-leoli around the leg and thigh to the seat of fracture. Preparealso a roller bandage of gauze or cotton cloth, a curved or straightham-splint properly padded, and three adhesive straps for hold-ing the ham-splint.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
