The treatment of fractures with notes upon a few common dislocations /by / Charles Locke Scudder.

  • Scudder, Charles L. (Charles Locke), 1860-1949.
Date:
1903
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of fractures with notes upon a few common dislocations /by / Charles Locke Scudder. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    44- GU.N'SIIUT l-'KACTLRHS UK BONE of primary shortenins:: in some cases of severe comminution this was practically ;/// during the first day or two, when, with return of tone in ihe. uuiscles, it sometimes became very considerable. The long and dillicult transport is the most unsatisfactory element to contend with in the treatment of fractures of bone in the field. There are advantages in having a field hospital behind the firing line. vSir W'm. MacCormac has said that the ideal treat- Fig. 602.—Perforation of lower third of tibia, showing lifting and Assuring of the compact roof of the tuiniel. Compare with figure 600, of a fracture of the cranial vaults (from Makins' Surgical Experi- ences etc.). Fig. 603.—Oblique perforation, implicating both epiphysis and diaphysis. Large fragment detached at e.xit aperture. Caused by a bullet traveling at a low rate of velocit\-. The dotted lines indicate the course of the track (from Making' Surgical Experiences, etc.). ment of a gunshot fracture of the femur would be to erect a tent over the man where he fell and not to transport him at all. The plaster-of-Paris splint (roller bandage) spica to both thighs, with a long outside splint from axilla to below the foot, is the most satisfactory immobilization apparatus for these cases of compound thigh fracture. The operative mortality following compound or open fractures of the femur during the Crimean war was about 73 per cent. Dur- ing the American war it was about 53 per cent. During the Franco-German war it was 65 per cent, among the Germans and 90 per cent, among the French. The conservative mortality—