A Practical Treatise on Fractures and Dislocations
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A Practical Treatise on Fractures and Dislocations

A Practical Treatise on Fractures and Dislocations


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1863 Excerpt: ... fracture within the capsule, existing without laceration of the reflected capsule, or displacement of the fragments, and equally in case of a fracture at the same point with impaction, the treatment ought to be directed to the retention of the bone in place, by suitable mechanical means, for a length of time sufficient to insure bony union, or for as long a time as the condition of the patient will warrant. The means which are best calculated to fulfil this important indication are, in my judgment, complete rest in the horizontal posture, the limbs being secured in straight splints constructed somewhat after the principle of Gibson's improvement of Hagedorn's apparatus; that is, the sound limb being first secured to the foot-board, and the broken limb subsequently brought down to the same point. In this wav we may dispense with the perineal band as a means of counter-extension, which is so painful, indeed insupportable often, when the fracture is at the neck, the hip of the broken limb being prevented from descending by the lateral pressure of the two long splints. This apparatus possesses also this advantage, namely, that it presses the broken fragments more firmly against each other, and thus operates to prevent their displacement in the direction of the axis of the shaft. Fig. 110. In treating this fracture, supposing no displacement to exist, no extension beyond that which is necessary to insure perfect quiet can be proper, inasmuch as the fragments are not overlapped; and they need only a moderate assistance to enable them to maintain their position against the action of the muscles. Moreover, if the fragments are impacted, violent extension would disengage them and render their displacement and non-union inevitable. Of course no side splints are nece...


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Product Details
  • ISBN-13: 9781231229101
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 350
  • Spine Width: 19 mm
  • Width: 189 mm
  • ISBN-10: 1231229101
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 626 gr

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