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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unlessthen- is a visceral lesion. Slight deformity may be noticeableupon full recovery (see Fig. 109). TREATMENT OF FRACTURES OF THE PELVIS IOI Fracture of the pubic portion of the ring of the pelvis is the commonest fracture. It is usually associated with otherfractures or separations of bony surfaces of the pelvis. Injuryto the urethra is not uncommon in this fracture (see Figs. I 10,in). Treatment.—A snugly fitting swathe encircling the pelvisshould be applied to assist in immobilizing the fracture. If thefracture is of the ilium alone, the swathe should be appliedloosely enough to avoid displacing the fragment of the crest in-ward, thus causing permanent deformity (see Fig. log). Thepatient should, in all cases, except simple fractures of the crest
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Fig. 109.—Case : Fracture of the crest of the right ilium : A, Deformity due to inward displace-ment of fractured bone; E, Posterior lateral view (Porter). of the ilium, be placed upon a properly fitting Bradford frame.Upon this frame, and in no other way, can the patient be com-fortably nursed. The bed-pan can be adjusted with ease andwithout disturbing the fracture. The bed can be most readilychanged and the patient kept clean and comfortable. If it isprobable that movements of the hip-joints cause motion at theseat of the fracture, the thighs should be fixed so as to immobilizethese joints. If the patient is on a Bradford frame, sufficientimmobilization is easily accomplished by encircling the thighsseparately or together and the frame with a towel swathe.Extension of the limbs by weight and pulley may be needed in 102 FRACTURES OF THE PELVIS addition in certain cases to secure immobilization of the fracture.Wiring or suture of the fractured bones may be entertained andpractised.

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