A Practical Treatise On Fractures And Dislocations

Cover A Practical Treatise On Fractures And Dislocations
A Practical Treatise On Fractures And Dislocations
Frank Hastings Hamilton
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Bryant, of London, enforces this precaution in the following emphatic language : " If it were as distinctly understood as it should be by all students and practitioners that a fracture of the neck of the thigh-bone can be diagnosed without seeking for crepitus, that all but the gentlest manipulation of an injured hip is likely to prove injurious, and that anv attempt to elongate the limb by forcible extension, to flex it, or to rotate it with the view of restoring it to its natural position is ...likely to be followed by a breaking up of the impacted bones, and consequently by irreparable injury, the treatment of these cases would be as satisfactory in its results as it is simple, and our workhouses would be occupied with fewer cripples." As bearing On the prognosis, we cannot forbear enforcing our pre- viously expressed opinion of the importance of treating evenr case of fracture of the thigh as if union would follow, by quoting, as follows, from Mr. Bryant : " If, moreover, it was recognized, as it should be, that many intra-capsular and all extra-capsular fractures unite when rightly treated, every case of fracture of the neck of the femur, impacted or non-impacted, intra- or extra-capsular, in the youn^, middle-aged, or old, would be treated as if repair and union were sure to take place if the parts are kept at rest and in apposition, and in the large proportion of cases the hopes of the surgeon will not be disappointed."] Treatment.

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