On the injuries and diseases of bones : being selections from the collected edition of the clinical lectures of Baron Dupuytren, Surgeon-in-chief to the Hôtel-Dieu at Paris / translated and edited by F. Le Gros Clark.
- Guillaume Dupuytren
- Date:
- 1847
Licence: Public Domain Mark
Credit: On the injuries and diseases of bones : being selections from the collected edition of the clinical lectures of Baron Dupuytren, Surgeon-in-chief to the Hôtel-Dieu at Paris / translated and edited by F. Le Gros Clark. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![ON SEVERAL CAUSES WHICH MAY TEND TO HASTEN OR RETARD THE CONSOLIDATION OF FRACTURES. Whatever care may be taken in tlie reduction of fractures, and in tlie selection of means for preserving position, it will nevertheless occur occasionally that union is protracted beyond tbe usual period. This tendency is owing to circumstances, many of which have been either altogether overlooked, or their importance has not been properly appreciated ; such as the obhque direction of the fracture, the interposition of muscular fibres between the fractured ends, the presence of hydatids in the bones, a scrofulous or rickety diathesis in the patient, &c. ON THE OBLIQUE DIRECTION OF FRACTURES. Authors who have written on the diseases of bones have divided fractures into transverse, oblique, double, and comminuted; and they have nearly aU adopted these conventional distinc- tions, without tracing or even perceiving the effects and con- sequences of varieties at least equally great and important. A reference to works on the subject will prove that these remarks are^ entirely apphcable to the phenomena and treatment of oblique fractures.^ Nevertheless, it cannot be denied that these considerations are of weighty importance; especially as the statistics of the Hotel-Dieu prove that one half, or nearly that proportion of the total number of fractures admitted into Its wards are obUque; but the extent and direction of the obhquity axe by no means identical in all cases; on the con- trary, the variations in these respects are infinite, and one may ' [Tlie author, of course, refers to the works of his countrymen.—Tu.]](https://iiif.wellcomecollection.org/image/b23982573_0041.jp2/full/800%2C/0/default.jpg)
