The treatment of fractures . h a bandage. By this arrangement thelimb is pulled upon only to the extent of correcting the actualshortening, and is held at one and the same length sleeping orwaking, whether the muscles relapse or are spasmodically con-tracted. The device aims to prevent motion in the axis of the limb ;to prevent lateral motion by bending the limb in any direction ;to do this without constricting the region of the fracture ; and toenable the patient to have the bed-pan adjusted without pain andwithout disturbing the relation of the parts. When the splint 272 FRACTURES OF THE FEM
The treatment of fractures . h a bandage. By this arrangement thelimb is pulled upon only to the extent of correcting the actualshortening, and is held at one and the same length sleeping orwaking, whether the muscles relapse or are spasmodically con-tracted. The device aims to prevent motion in the axis of the limb ;to prevent lateral motion by bending the limb in any direction ;to do this without constricting the region of the fracture ; and toenable the patient to have the bed-pan adjusted without pain andwithout disturbing the relation of the parts. When the splint 272 FRACTURES OF THE FEMUR has been applied and the patient is in bed, the nurse should beinstructed in certain manceuvers. The bed-pan is adjusted bypassing the arm under both limbs or below the knees and thenlifting directly upward, making an incline of the whole patientbelow the chest-band. By this manoeuver it is also more easyto smoothe out wrinkles in the bedding and change the sheetthan in the usual way. The stem should be made to press upon. Fig. 371.—Tracing of photograph of patient (see skiagram, Fig. 372) four years afterfracture of the left femoral neck, showing the shortening and turning out of the leg (afterWhitman). different parts of the skin by pulling the skin night and morningfirst to one side and then to the other. The patient should beinspected daily for pressure sores by turning him on the soundside. In orderto turn a patient upon the sound side support thefractured limb at the knee with one hand and grasp the chest-band with the other ; the patient then is readily turned as a points most likely to suffer from pressure are those at the FRACTURE OF THE HIP TREATMENT 273 junction of the thigh-band and stem, the lower bend of the stem,and the junction of the stem and chest-band. Points pressedupon should be lightly dressed with flexible collodion and pro-tected from further pressure by padding above and below. Ifthe pressure of the whole body portion of the stem is compl
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
