Licence: Public Domain Mark
Credit: A treatise on fractures / by Armand Després ; translated by E.P. Hurd. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![agement: fracture of the femur requires continuous extension; fracture ofjthe neck of the femur, re- cumbency in Bonnet’s trough. Fractures of the ribs, however complicated, are best treated by large strips of sticking plaster passed twice around the thorax. Fractures of the joints require: at the knee, the trough-shapedj splint; at the elbow, the gutta percha mould, for fracture of the olecranon especially, and early mobilization—from the twentieth day. But for most of the fractures, it is sufficient to place the parts in a good position, and to prevent movements.* As^soon as the preliminary process of the formation of a callus is accomplished, when the organization of the elements of reparation has formed a sort of glue which binds end to end the broken bones, the retention may be lessjrigorous, for at this moment the muscles have lost much of their power by reason of the prolonged rest; consecutive displace- ments are not to be feared’from the muscular move- ments alone, and]with the exception of a slight in- curvation of’the bone at the seat of the fracture, there is nothing to dread, and for the remainder of the time, some light apparatus and a good position of the member’are sufficient during the final consoli- * Gerdy and Alph. Robert formerly proposed to treat fractures by simple position, fractures of the fibula and clavicle for instance; but this mode of treatment has been abandoned, as it requires that the patient shall remain in bed and keep in a painful position.](https://iiif.wellcomecollection.org/image/b21987105_0012.jp2/full/800%2C/0/default.jpg)
