. On modern methods of treating fractures . ^ bymeans of the transfixion apparatus. It may appear at first sight a rather barbarous undertaking tothrust a metal pin right through a mans leg in order to mani-pulate his bone, but as a matter of fact it is a much less painfulproceeding than the attachment of heavy weights to the limb bymeans of the skin, fascia, and ligaments, all of which structuresare much more sensitive to traction and pressure than is thedense bone. If the transfixion is properly applied, and especi-ally if the cutaneous perforations are so made (by drawing up. Fiij. 32. -The
. On modern methods of treating fractures . ^ bymeans of the transfixion apparatus. It may appear at first sight a rather barbarous undertaking tothrust a metal pin right through a mans leg in order to mani-pulate his bone, but as a matter of fact it is a much less painfulproceeding than the attachment of heavy weights to the limb bymeans of the skin, fascia, and ligaments, all of which structuresare much more sensitive to traction and pressure than is thedense bone. If the transfixion is properly applied, and especi-ally if the cutaneous perforations are so made (by drawing up. Fiij. 32. -The .uiL- case a-- ihe aftertransfixion extension. the skin before piercing) that the skin is not dragged upon, thereis astonishingly little pain. There is no other method of dealing with a severe displacementwhich leaves the limb so free from splints and bandages. Fromthe very outset, therefore, it can be treated by massage withmovement of the joints, and if there is an external wound, thedressing of this causes no displacement of the extending force. The special indications for this method, then, are as follows :-— 1. Great displacement of fragments by overlapping. 2. Old displacements. 3. Failure and inapplicability of other methods. 4. Open fractures. 5. Comminuted fractures. 6. Fractures near joints—especially the hip and the ankle. 7. As a preliminary to open operation in order to produce replacement. 70 MODERN METHODS OF TREATING FRACTURES The one great drawback to the method is that it involves theproduction of two open granulating wounds which must become
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