Clinical Surgern

FredericC. Skey
1864 The Lancet  
OF fractures of the thigh, nearly all were treated with the long splint. Two cases, complicated with injuries of the head, united with loss of length of the limb, -to the extent of three inches in one case, and two inches in another,-I refractured the femur in both cases at the expiration of eleven weeks in one case, and ten in the other. In both the union was firm at the time of refracture. In both instances the original length was restored, and the recoveries were complete. Fractures of the
more » ... g I have treated, almost without exception, with the pillow, instead of splints. In all, except in cases of extreme obliquity of the fracture, the pillow, bound firmly round the leg by three or four straps, effects perfect union without overlapping, and is by far the most simple and easy method of applying the required lateral pressure to the limb with which I am acquainted. It produces neither abrasion nor irritation of the skin, and no discomfort from undue pressure. The most severe case of compound fracture I treated within the year, occurred in the person of a rather robust man of thirty-five yearsof age, who, in conseqnenceofhis house being on fire, jnmped from the window of the second floor to the ground. He had a compound fracture of the right tibia, about half way down; a simple fracture of the same bone lower down, extending into the ankle-joint ; a compound fracture of the left tibia; and simple fracture of the two bones, also probably extending into the ankle-joint. About one-third of the distance from the heel to the toes, on the inner side of each foot and in the direction
doi:10.1016/s0140-6736(02)59236-9 fatcat:oatxgwj2mzbflfto7l2iacsvhu