File:The treatment of fractures (1901) (14595183967).jpg

Identifier: treatmentoffract1901scud (find matches)
Title: The treatment of fractures
Year: 1901 (1900s)
Authors: Scudder, Charles L. (Charles Locke), b. 1860 Cotton, Frederic Jay, 1869-1938, joint author
Subjects: Fractures
Publisher: Philadelphia : W. B. Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fij,. 269.—Compound fracture and dislocation at the wrist. Hand saved. 208 PROGNOSIS AND RESULT OF TREATMENT OO, causes the commonest is the interposition of some soft tissue,such as torn periosteum, strips of fascia or muscle, between thefragments. A wide separation and imperfect immobilization ofthe fragments are also factors in the occurrence of nonunion.Of the general causes it is thought that syphilis, pregnancy,prolonged lactation, the wasting diseases, rachitis, and the acutefebrile diseases may contribute something toward nonunion. The constitutional treatment of nonunion is of primary impor-tance, together with reduction and absolute immobilization of thefragments. If these measures fail after a fair trial, a rubbing ofthe ends of the fractured bones together and then immobilizing-
Text Appearing After Image:
Fig. 270.—Method of applying force in completing a greenstick fracture of the forearm. Theforce is applied in the direction of the original force (diagram). them is sometimes effective. If this fails too, operative meas-ures should be instituted for making the fracture an open onefor the removal of any interposed tissues. Careful fixation will,after such operative procedure, usually effect union. If forsome unremediable constitutional reason union does not resultafter operation, a splint should be devised to make the damagedpart as useful as is compatible with nonunion. Treatment of Greenstick or Incomplete Fracture of theBones of the Forearm.—It is impossible to maintain the cor-rection of the deformity if the bones are simply bent back intoposition. Even with the greatest care in the use of pads and14 2IO FRACTURES OF THE BONES OF THE FOREARM pressure the deformity will in part reappear. It is necessary,therefore, to administer an anesthetic, and to make a completefracture of th

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