Fractures Being a Monograph On Gun Shot Fractures of the Extremities

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13. The Jones traction humerus splint.
the straps or the extremities of the bandage are tied to the end of the splint after having been first placed one over the other under the bars. Traction is then made by twisting, % means of a short stick (Spanish windlass ) .
In using the Jones humerus splint, traction is sup- 54 GUN-SHOT FRACTURES OF EXTREMITIES posed to be effected by adhesive straps attached to the skin of the arm, the elbow being flexed ; but in fractures of the lower part of the hume
...rus the straps obviously cannot be used, and a hitch must be taken about the elbow with a bandage. All such hitches must be pinned in order to prevent their drawing tight and constricting the parts.
FIG. 14. Thomas traction arm splint used as an ambulatory splint. Abduction is maintained by bending another Thomas splint to form a support.
Operative treatment: Should be conducted as laid down for fractures in general. When operated on before infection is estab- lished, the musculo-spiral nerve, if divided, should be sutured.


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