File:Journal of the Medical Society of New Jersey (1914) (14796190683).jpg

Identifier: journalofmedical1119medi (find matches)
Title: Journal of the Medical Society of New Jersey
Year: 1914 (1910s)
Authors: Medical Society of New Jersey Medical Society of New Jersey. Transactions of the Medical Society of New Jersey Medical Society of New Jersey. Official list of fellows and members Medical Society of New Jersey. Annual report
Subjects: Medicine Socieites, Medical Tuberculosis
Publisher: Lawrenceville, N.J. (etc.) : Medical Society of New Jersey
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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rsien vessels passthrough the haversian canals of the trans-planted portion from one end to_the otherof the graft, which carry with them ;heosteoblasts and the osteoclasts, which pro-duces the union; the transplanted part be-ing sterile, dead bone, which is afterwardabsorbed and in this way disposed of. AsI said before, which of these theories is thetrue one is of little importance, so long as 277 we get the desired results by the use of thegraft. 1 would like just here to mention a treat-ment that I have found very useful in casesof non-union of the long bones of the legwhere good apposition with practically atransverse fracture has existed, and that is,after a period of 10 weeks with propersplinting, you rind non-union to exist, to en-case the leg. whether it be above or belowthe knee, in a good, firm, leather legging,and then cause your patient to walk abouton the injured limb. This leather leggingmay be replaced by a light plaster cast, butwhich, if used, is often more troublesome
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Fig. 9. Fracture of external malleolus withoutward dislocation of the astrogalus. to keep in place, and cannot be removedwhile the patient is in bed, so that I prefervery much a strong, well laced, leathersplint. In the cases in which I have usedthis treatment, I have found after a periodof from 3 to 6 months, perfect union re-sulting, which I believe was due to the irri-tation and necessarily increased circulationproduced around the fractured ends by the Journal of the Medical Society of New Jersey. 278 Journal of the Medical Society of New Jersey. June, 1914 friction caused by their rubbing togetherduring the process of walking, and the nec-essarily greater outpouring of the osteogen-etic elements required in bone healing. In the matter of joints and their injuries,so far as the bones are concerned, we haveto deal with dislocations and dislocationswith fractures. To dwell upon the matterof dislocations for any considerable time orto rehearse the manipulations necessary inthe reducti

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