A practical treatise on fractures and dislocations . of shortening will determine properlyenough the amount of extension to be employed. In either case, how-ever, we shall not employ as much extension as in fractures of theshaft; and while in the one case we may only gain a shorter and firmerligamentous union, in the other we shall insure a better and morespeedy bony union. If any surgeon, acting upon the suggestions here made, shall confinea feeble or an aged person in the horizontal posture, with or without astraight splint, until the powers of nature have become exhausted, anddeath ensues,
A practical treatise on fractures and dislocations . of shortening will determine properlyenough the amount of extension to be employed. In either case, how-ever, we shall not employ as much extension as in fractures of theshaft; and while in the one case we may only gain a shorter and firmerligamentous union, in the other we shall insure a better and morespeedy bony union. If any surgeon, acting upon the suggestions here made, shall confinea feeble or an aged person in the horizontal posture, with or without astraight splint, until the powers of nature have become exhausted, anddeath ensues, as our readers have already been admonished may happen, THROUGH THE TROCHANTER MAJOR. 401 we are not to be held responsible for his want of judgment or of have advised this plan of treatment only for so long a period asthe condition of the patient renders it entirely safe. No doubt, then,in a large number of cases it will have to be abandoned very early, andin not an inconsiderable proportion all constraint will be plainly inad- FlG. Millers splint for extracapsular fractures. (From Miller.) missible/7-om the beginning; and it is for such examples that the treat-ment recommended by Sir Astley Cooper for all intracapsular fracturesought to be reserved. (c.) Fractures of the Neck partly within and partly without the Capsule. It is scarcely necessary to say that the line of fracture through theneck of the femur may be such, that it shall be in part within and inpart without the capsule; and such fractures will be even more difficultto diagnosticate than either of those forms of which we have justspoken. The symptoms will be mainly, however, those which charac-terize fractures within the capsule, while the treatment ought to besuch as we would adopt in those fractures which are wholly withoutthe capsule. The chances for bony union are increased in proportionas the line of separation extends outside of the capsule, and we oughtto be diligent in our efforts, if we have
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
