FRACTURES OF THE NECK OF THE FEMUR AND THEIR TREATMENT.Read in the Section on Surgery and Anatomy, at the Forty-fifth Annual Meeting of the American Medical Association, held at San Francisco, June 5-8, 1894

1894 Journal of the American Medical Association (JAMA)  
and bandage only makes a bad matter worse, the vessels and nerves being compressed between bone and board. That which is absolutely essential to thoroughly satisfactory répair, is early and complete adjustment. This is one of the few fractures in which the chief difficulty lies in securing not maintaining apposition. Once secured, only the simplest aftertreatment is really required ; a band around the wrist perhaps, to lessen the after-spreading due to separa¬ tion of and later somewhat
more » ... er somewhat misplaced attachment of the inter-articular cartilage. In view of possible after-ligation, as professional opinion is now, it is wiser as a rule to employ some form of splint, plaster-of-paris or other, never extend¬ ing below the wrist line and thus supporting the hand, which should be allowed to hang free. But the use of such splint is not necessary so far as the break is concerned, provided (and this proviso must be kept constantly in mind) complete apposition of the fragments is secured.
doi:10.1001/jama.1894.02421070011001d fatcat:tkpojd4hrbhafihegerq3z3jbm