Surgery At a Casualty Clearing Station

Cover Surgery At a Casualty Clearing Station
Surgery At a Casualty Clearing Station
Cuthbert Sidney Wallace
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Over all a roller bandage is firmly and evenly applied.
The ends of the extension material are then secured to whatever means are used for producing the extension generally a weight passing over a pulley, or some form of spring.
In glue extension it is important that the gauze be allowed FIG. 13. The method of applying glued gauze extension to the limb.
to dry on the limb in the position in which it will exert traction, otherwise the skin is pulled on and blisters occur.
Deep or transfixion ext
...ension is called for in two types of cases: (1) Those in which extensive injury to the soft parts prevents the application of a surface extension; (2) cases in which surface extension has failed to overcome overlapping and deformity.
Fractures of the femur, tibia and fibula, and humerus may be treated by it ; the indications are most common in the first mentioned, and least common in the last named. Indica- tions in the tibia and fibula are intermediate in frequency.
Five different methods of transfixion extension may be mentioned : (1) The transfixion pins of Codavilla and Stein- mann ; (2) Hey Groves' horse-shoe screw clamps ; (3) double GUNSHOT INJURIES OF BONES 91 transfixion apparatus (Hey Groves and Lambret) ; (4) Fino- chietto's stirrup extension for transfixion through the soft parts ; (5) the ice- tongs method.


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