A system of surgery . xercised. (4) Thomass knee-splint.—Extension straps are adjusted. Shortside splints, which are very comfortable when made of newspapers,are buckled round the fracture, shortening and rotatory deformitybeing first corrected. Then the splint is put on, pushed up firmlyagainst the tuber, and the shoulder strap is buckled. The extensionstraps are now drawn tight and wound round the foot-piece or aspecial bar; a firm bandage round splint and limb finishes. Wheneverything is satisfactory a silicate bandage may be applied, renderingthe apparatus permanent. In this the limb is mo
A system of surgery . xercised. (4) Thomass knee-splint.—Extension straps are adjusted. Shortside splints, which are very comfortable when made of newspapers,are buckled round the fracture, shortening and rotatory deformitybeing first corrected. Then the splint is put on, pushed up firmlyagainst the tuber, and the shoulder strap is buckled. The extensionstraps are now drawn tight and wound round the foot-piece or aspecial bar; a firm bandage round splint and limb finishes. Wheneverything is satisfactory a silicate bandage may be applied, renderingthe apparatus permanent. In this the limb is most securelyfixed, and the whole can be moved about freely (Fig. 299). The partmay be left lying1 or sluno- in a Salters cradle, and this should be FRACTURES OF THE THIGH. 853 done if there have been any tendency to tilting forwards of theupper fragment. Elastic extension is easily arranged. When angular deformity is present, horizontal extension andrepressive splints have a certain element of force about them. It is. Fig. 300.—Treatment of a fractured Thigh by the double inclined Plane and Extensionin the line of the Thigh. a common practice to raise the lower fragment into the line of theupper, and to maintain extension in this line. (5) The double inclined plane for one or both limbs was the earliestform of apparatus having this object. The angle between the twoplanes can be varied as required. A frame such as that shown inFig. 300 is easily and quickly made, the double inclined plane isthat part on which the limb rests; but the third leaf allows ofvariation in the position of the trunk. In some cases of fracture
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