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:
1848
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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    same objections to this use of the dextrin bandage. In such cases, indeed, I think it highly useful, if properly applied. I will now call your attention to a fracture of the patella. It is not usual, however, that any mechanical means are re- quired in this injury, other than to place the limb perfectly PLATE VIII.* straight, and to elevate the foot, so as to relax the rectus fe- moris and vasti muscles. Indeed, any attempt to approx- imate the two fractured portions by an apparatus about the knee, generally results in a greater separation of the fractur- ed portions, than to leave the limb as above described. Yet this is not always the case. There are instances in which it is desirable to overcome, in some measure, the extreme con- tractility of the three muscles above named. This may be done in the following manner:—Place the bulbous part of one pad above and against the upper fragment of bone, and around it and the limb apply a belt with a loop lying over the bulb; pass the other belt around the limb below the lower fragment, with a loop lying over the broken portion ; pass a tape through the loops and tie moderately tight; but through the upper loop, pass a long tape, an end of which is to pass down on each side of the leg. Apply the instrument, as in fractures at the neck of the thigh bone, but without any splints or bandages. Let an end of the tape be tied to the foot of the rack, crossing the sole of the patient's foot, and * P!a,te VI11-' which was not in the English edition, is here added, the bet- ter to illustrate the application of the instrument to fractures of the patella.