The Position of the Operation for the Excision of a Cartilage in Military Surgery

T. E. Hammond
1918 BMJ (Clinical Research Edition)  
be dlirninished. Attentiou,-too, may be directed to getting wVounds in these situations inito a healthy conditi n and closing then. InterrLuptions miglht be mnade to allow for dressings, but hjitlherto this has Inot been tried, as suclh changres would piobably be at the expense of comfort and simiplicity. MIajor M. Sinclair, R.A.M.C., hias suiagested that in the straight triangle splint the outer side miiiglht be iiiade of twvo straihlit nmetal bars lile those of tlhe Tlhomnas's arn splint and
more » ... hlat the armu imiighlt be fixed to it in a simiiilar imianner-a plai whllichl seemiis well wortlh trying. Anotlher disadvautage is that there is nlo active extension. It would be possible to arrange for an apparatus for extension beyond thle outer side of the triangle, but tllere is Ino (loubt that in some cases of fractuLre of the lhumerus extension can be overdone, and wheni it is necessary it is best .applied with the Tlhomas's splint. The axilla, too, is niot at satisfactory place for coulnter-extenision. It may againi be pointed out that severe and very septic cascs, and those 'vhere secondary lhaemorrhage is likely, are best treated on a Thomas's splint, at any rate until the local condition lhas greatly improved. I lhave to thank Captain Al. H. Watney, R.A.M1.C., for mlany x-ray plates and for the plhotograplhs from wlich the illustrations are taken.
doi:10.1136/bmj.2.3026.714 fatcat:vdujrkwdivbopeggbugvtrkc5i