The practice of surgery . adult. Sometimes it may do m the case of arestless and intractable child. Fractures of the femoral shaft areextremely difficult of coaptation and of proper immobihzation. l^orthis reason such fractures should be dressed in an appara us which wallpermit of frequent inspection and the correction of familiar Bucks extension with coaptation splints on the thighposterior ham-splint, and a long outside splint, is the apparatus which 902 -Mixoii sii{(;i;uv—diskashs of stiucti he meets the neeessities of the case. The coaptation si)liiils aie such asI have a


The practice of surgery . adult. Sometimes it may do m the case of arestless and intractable child. Fractures of the femoral shaft areextremely difficult of coaptation and of proper immobihzation. l^orthis reason such fractures should be dressed in an appara us which wallpermit of frequent inspection and the correction of familiar Bucks extension with coaptation splints on the thighposterior ham-splint, and a long outside splint, is the apparatus which 902 -Mixoii sii{(;i;uv—diskashs of stiucti he meets the neeessities of the case. The coaptation si)liiils aie such asI have aheady described. They are shown in the accompamingfigure. The ham-spHut should l)e carefully adapted to the length ofthe leg and to its curves, and should be heavily padded. The longoutside splhit should i-(>ach from the axilla to immediately below theankle, while the internal sj)lint should reach from the peiineum to justbelow the ankle. The illustration shows the appeaiance of this ai)par-atus and its Fig. 603.—Fracture of tlie thigli. Completed apparatus, as in Fig. 602, and inaddition a long outside T-splint, .straps, and swathe. A\ eights applied (Scudder). The most important feature of the dressing, however, is the straps are carried from one inch below the seat of the frac-ture out to a pulley, such as is figured in the text, and the foot of thebed is raised foi- counterextension, as in cases of fracture of the neckof the femur. Bucks extension is a convenient apparatus for thetreatment of compound fractures, as well as for the treatment of simple


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910