A new method of direct fixation of the fragments in compound and ununited fractures / by Nicholas Senn.

  • Senn, Nicholas, 1844-1908.
Date:
[1893]
Catalogue details

Licence: Public Domain Mark

Credit: A new method of direct fixation of the fragments in compound and ununited fractures / by Nicholas Senn. 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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    surfaces, and the tying of the fragments firmly together with silver wire. If the seat of fracture is sufficiently accessible so that the drill can be applied vertically to the fractured surfaces, he drills Fig. 5.—Peripheral groove for wire. FiG. 6.—Lateral groove for wire. through both fragments, and with a hook of his own device pulls a silver wire through the perforation, cuts the wire in the centre, and twists each half separately. Fig. 7.—Wire drawn through the perforation. Fig. 8.—Wire cut in the centre and each half twisted separately. It appears to me that in operating by this method it would be much better not to cut the wire, but pass both ends through the loop and twist them in the same manner as in tying the I* ig. 9.—Author’s modification of twisting the wire, Staffordshire knot. Staffordshire knot. These modifications of suturing' the fragf- o o ments are a great improvement upon the old method, but do