A practical treatise on fractures and dislocations . nce is presented that results are anybetter than my own, by which latter method rotary dis-placement is impossible; lateral displacement or bending,improbable; and there is no shortening, of course, unlessit is a complete fracture, and if it occurs then it is trivial. [Bryant, of London, states (Prac. Surgery) that he beganthis form of practice at Guys Hospital in 1870, and illus-trates it (Fig. 262). The ages of his patients varied fromeight months to five years; for older patients he prefers thedouble splint. I have employed Bryants dressi
A practical treatise on fractures and dislocations . nce is presented that results are anybetter than my own, by which latter method rotary dis-placement is impossible; lateral displacement or bending,improbable; and there is no shortening, of course, unlessit is a complete fracture, and if it occurs then it is trivial. [Bryant, of London, states (Prac. Surgery) that he beganthis form of practice at Guys Hospital in 1870, and illus-trates it (Fig. 262). The ages of his patients varied fromeight months to five years; for older patients he prefers thedouble splint. I have employed Bryants dressing withgood results.] It must be understood, however, that with anymode of treatment, almost, occasional good results areobtained; but this is only because fractures of thethigh in infants are generally green-stick fractures;and the tendency to displacement is very slight, andunion occurs very speedily. Badly comminuted and compound fractures of this bone are to be man-aged upon the same general principles as gunshot fractures. Those com- Fig. Vertical extension. AT OR NEAR THE BASE OF THE CONDYLES. 419 pound fractures of the femur which have been caused by the thrusting ofthe sharp fragments through the flesh, and in which reduction has beeneasily effected, have in most cases done as well as simple fractures, ex-cept that the limb is generally a little more shortened. The woundusually soon heals, and the future progress of the case is the same asthat of a simple fracture. They may be treated, therefore, in the samemanner as those which have just been described. § 4. Fractures of the Shaft, at or near the Base of the Condyles. Causes.—These fractures are not so common as fractures of the shaftelsewhere; twenty examples are contained in my records as having comeunder my personal observation. According to my own experience, theyare caused generally by a fall upon the knees or feet. In at least nine ofthe cases seen by me the fracture was caused in this manner. In sevenit
Size: 1039px × 2404px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
