Licence: Public Domain Mark
Credit: On the treatment of fractures of the limbs. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
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![LECTUEE II. Introductory observations—Difficulties attending the subject, p. 24 and 25. —Practice in the Clinique of University College, London, 26.—At La Charity, H6tel Dieu, and St. Louis, 27 and 28.—Monsieur Malgaigne, and Sir Charles Bell on facts, 28.—This is a question of fact ; requisites for its solution, 29.—Study of a hypothetical case of simple fracture of the femur, 30.—Rationale of the symptoms ; causes of displacement, 32.—Percival Pott's error in considering vital, to the total exclusion of physical, conditions and laws, 33-37.—Theory of the action of an immoveable apparatus as an outer skeleton to a broken limb, 38. —Clinical test of that theory, 39 and 40.—Physiological process of rejiair in broken bones.—Mischievous doctrine of Duhamel and Dupuytren, 41.—^Pott forestalling the researches of Stanley and Paget, 42-44. Case VIIL—Oblique fracture of femur just above condyles.—Shortening to an inch and a half.—Immediate i-eduction, and immobilization by a pasteboard apparatus.—Thirty-six hours after the accident the patient walked on crutches with perfect ease.—At the end of nine weeks union was soUd, without shortening, and the patient walked seven miles with the sole use of a stick, d5-48. LECTURE III. Commentary on Case viii. p. 49, et seg.—Sir Astley Cooper's unsuccessfid treatment of oblique fractm'es of femur just above the condyles, 51. Modus operandi of the immoveable apparatus, anatomically and physio- logically considered.—Immediate reduction, prevention of eversion, maintenance of accurate coaptation, fixing joint above and below the seat of fi-acture, gentle and uniform circular compression, necessity of delicate manipulation, physical and vital causes of, and mode of counter- acting antero-posterior displacement in oblique fractures of leg and thigh, 52-56. The plaster of Paris bandage. Case IX.—Fracture of fibula vnth consider- able swelling.—Instant immobilization by plaster of Paris bandage.— Patient discharged from the hospital the next day.—Perfect recovery, p. 57. Parallel between the cUniques and wiitings of Mayor and Seutui, p. 58.— Rationale of the suspension plan.—A s^^^ng and a Macintyre contrasted, 59 and 60.—Critical examination of the teaching of Mr. Liston and Ml. Sjone, on the treatment of fractures.—Mr. Listen's sound doctiine, 61.—Imperfection of his practice, as exemplified in the IMac- intyre and long splint, 62-64.—]Mr. Syme's three propositions analyzed, 65-72.—The doctrine of immobilization illustrated by reference to the cause and remedy of ununited fractures.—Successful case of treatment of ununited fracture of tlie femur.—The serious operations resorted to for the treatment of these cases are with very rare exceptions super- Huous, 73 and 74.](https://iiif.wellcomecollection.org/image/b21516224_0014.jp2/full/800%2C/0/default.jpg)
