Appendix to Down Bros.' catalogue of surgical instruments and appliances : Octoberr 1910 / Down Bros., Ltd.
- Down Bros. (Firm)
- Date:
- 1910
Licence: In copyright
Credit: Appendix to Down Bros.' catalogue of surgical instruments and appliances : Octoberr 1910 / Down Bros., Ltd. Source: Wellcome Collection.
228/264 page 220
![No. 9219 An Improved Method of putting up Fractured Cl avicles^ continued,— All are interchangeable from side to side. The first two are made of jean, and the webbing is similar to that used for babies’ binders. The accompanying sketches show better than words liow the apparatus is applied. First, the shoulder-piece is fitted on the uninjured side, taking care that the looji to support the hand comes in front ; a pad is then placed in the axilla, and tho arm-piece is tied on round the arm as close up to the axilla as possible, the two free tapes at the end being loosely tied to the lower two tapes on tho back of the shoulder-piece ; lastly, the elbow-piece is put on, the two tapes behind being tied to the upper two on the back of the shoulder-piece, whilst in front, the arm having boon placed in the usual completely-flexed position, with tho hand well up on the whole shoulder, the loop is buttoned over tho wrist, the upper tape is passed through the small loop opposite to it on the elbow-iiieco, and tied to the uppermost one on tho shoulder-piece ; tho adjustment of the last two pairs of tapes is now obvious, and it will bo found that tho arm on tho injured side is fixed in good position, and that all that now remains is to tighten up the tapes. A little consideration will show that there is now a line of traction passing from elbow completely round the chest to the upper arm, any shortening of which pulls the elbow forwards and the shoulder back ; whilst, by tightening tho posterior attachments and upper anterior tape of tho elbow-piece, the vvdiole weight of the arm is slung, and the shoulder can bo considerably raised. There is some constriction of the chest which checks, to some extent, thoracic breathing—an end not undesirable in itself, since it is the movement of the inner end of the clavicle caused by resjoiration which makes it impossible to secure complete immobility of the bone. A NEW SPLINT FOR COMPOUND FRACTURES OF THE HUMERUS. Suggested by Mr. Alexr. E. Tweedie, F.R.C.S., oe Nottingham. 9219. Humerus Splints,— Twecdic’s, 3 sizes, cacli right and left, per set of 6 splints £ s. d. 0 10 0 Extract from the “ Lancet,” February 10, 1906. Tho illustration given above is that of a modified angular arm splint atlaptod for application to tho anterior surfaces of the upper and forearm, whilst allowing the latter to bo held midway between supination and pronation, i.e., in tho most comfortable position. By its use accurate apposition of the fragments may bo continuously maintained in such severe compound fractures of tho humerus as involve the outer and inner aspects of the upper arm at once, and which thereby entail tho removal of an internal or oxtorn.al angular splint and consequent disturbatice of the j)arts when dressing tho wounds. It is made wider than usual to allow of firm bandaging without producing venous congestion, a point neglected in many splints. Both a right and left ])attern are, of course, necessary. It has boon made for jno by IMossrs. Down Bros.](https://iiif.wellcomecollection.org/image/b29012946_0228.jp2/full/800%2C/0/default.jpg)
