. A practical treatise on fractures and dislocations . tions than any other manufac-tured splint with which I am acquainted, but the number of cases inpractice to which they are applicable will be found to be limited, whilegutta percha has no limit in its application. Whatever material is employed, a pretty large pledget of fine cottonbatting ought to be laid in front of the elbow-joint, to prevent theroller from excoriating the delicate and inflamed skin, and great careshould be taken to protect the bony eminences about the joint, or,rather, to relieve them from pressure, by increasing the th
. A practical treatise on fractures and dislocations . tions than any other manufac-tured splint with which I am acquainted, but the number of cases inpractice to which they are applicable will be found to be limited, whilegutta percha has no limit in its application. Whatever material is employed, a pretty large pledget of fine cottonbatting ought to be laid in front of the elbow-joint, to prevent theroller from excoriating the delicate and inflamed skin, and great careshould be taken to protect the bony eminences about the joint, or,rather, to relieve them from pressure, by increasing the thickness ofthe pads above and below these eminences. At a very early day, so early, indeed, as the seventh or eighth day,the splint should be removed, and, while the fragments are steadied,gentle, passive motion should be inflicted upon the joint. This prac-tice should be repeated as often as every second or third day, in orderto prevent, as far as possible, anchylosis. If much swelling followsthe injury, it is my custom to open the dressings, without. The authors elbow splint. removing; 252 FRACTURES OF THE HUMERUS. the splints, on the second or third day after the accident, or at anvtime when the symptoms admonish us of its necessity. Occasionallyit is well to change the angle of the splint before reapplying it. Ifthe angular splint with a movable joint is used, slight changes maybemade while the splint is on the arm; but if the angle is much changedwithout removing the rollers, they become unequally tightened overthe arm, and may do mischief. When anchylosis has actually taken place, we may more or lessovercome the contraction of the muscles and of the ligaments by pas-sive motion, or by directing the patient to swing a dumb-bell or someheavy weight in his hands, as first recommended by Hildanus. § 7. Fracture at the Base op the Condyles, complicated with Frac-ture BETWEEN THE CONDYLES, EXTENDING INTO THE JOINT. This fracture, which is but a variety or complication of the pr
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