Lectures on fractures and dislocations : explaining new modes of treatment founded on anatomy, physiology, and the laws of mechanics : together with concise instructions in the use of the adjuster / by George O. Jarvis.

  • Jarvis, George O. (George Ogelvie), 1795-1875
Date:
1847
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on fractures and dislocations : explaining new modes of treatment founded on anatomy, physiology, and the laws of mechanics : together with concise instructions in the use of the adjuster / by George O. Jarvis. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    Let the hand, between the thumb and index finger, rest against the middle of the strap ; the back of the hand resting on the instrument. Make the thumb fast to the foot, A, of the adjuster, by a clove hitch with a broad tape, doubled. Tie a handkerchief round the wrist and instrument. Make extension with the lever, and throw the distal extremity of the thumb directly backwards, and when the two articulating surfaces are sufficiently approximated, let it be again brought forwards. FOR FRACTURE OF THE THIGH. [See Plate V.] Place the pads (fig. 8), one on each side of the thigh, immedi- ately above the knee. Around the limb and pads, apply the long belt, having two of the loops armed with strong tapes, cfoss the bulbous part of the pads. Apply the instrument to the limb as in dislocations of the hip; except that the side lever (fig. 3) is not to be attached to it. Prepare the double-inclined plane for receiv- ing the limb and instrument upon it, by adapting the length of the two parts of the plane to the length of the two portions of the limb. Give the plane that angle which the limb is judged to re- quire, and cover it with mats, or anything that will make an easy surface, on which the limb is to rest. Over the whole, and on the appropriate part of the plane, lay tapes or an eighteen-tailed bandage, ready for dressing the limb when adjusted. On the plane, thus prepared, lay the limb and instrument already attached. By the lever, make sufficient extension to set the bone ; now place splints on each side of the thigh, the inner splint being placed be- tween the instrument and limb. Let the lower end of each splint pass a little distance under its pad. Be careful to allow none of the weight of the instrument to press on the limb—this is done by placing a bolster between the instrument and the plane. Let the space between the inner splint and the instrument be filled with folds of cloth, so that the splint shall press equally and gently on the whole length of the thigh. Over the whole apply the tapes or eighteen-tailed bandage. Note.—In all cases of fractures, when the belts are lined with India rubber cloth, the limb should be covered with a cotton or flannel bandage beneath the belts, to protect the skin from the too stimulating properties of the lining. Where oiled silk is the lin-