The treatment of white swelling of the knee / by A.B. Judson.

  • Judson, Adoniram Brown, 1837-1916.
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of white swelling of the knee / by A.B. Judson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    to the lower or posterior side of the upright. When thus arranged, the rivets are less exposed to the ehanoe of break- ing. The upper and lower cross-pieces, B ami A, should be applied to the upper or anterior side of the upright. They may each, A and B, be provided, although this is not. ^ l) JJ u A CD « Kut *, essential, with a single buckle and a piece of webbing, w hile the two middle piece*, 0 and l>, should each have two strong buckles, one at each end. and a piece of webbing passed through a sliding-pad, so that the webbing may be moved along as it is worn through by the teeth of the buckles. These two pieces of webbing, spanning the front of the limb above and below the joint, may l>e considered the key of the apparatus, because the fixation of the joint is practically perfect when they are tight, relaxed when they are loosened, and withdrawn when they are removed. The upper and lower pieces, A and B, arc to be made of light and narrow bar steel wound with some soft material. The efficiency of the splint depends in great measure on the close apposition with which these pieces are applied to the shaft of the femur and the bones of the leg. A narrow piece of steel scantily padded displaces the soft parts and fluids and closely approaches the bone, and yet, if watchfully applied, it will not interfere with the comfort and integrity of the skin. On the other hand, broad surfaces, such as are found in the interior of a plaster splint, are prevented, by the interposition of the soft parts, from approaching the bone and producing the desired fixation of the joint. It rnay be an exaggeration, but it conveys the idea, to say that