FRACTURE, 
would be defi nah were it alfo practicable, every one -will 
admit ; but, t ffibility of accomplithing it, fo long 
different a ie different ufes, different fituations, = 
different attachments ta the bones, every one muit gran 
be: no more than | vi ifionarv. For inftance, do_ no tthe a- 
a 
a 
ci “hey relax the biceps | and s? 
.true reafons genera ce ‘favourably 
a auch difficulty, might be more. prorat eferre 
circumftances mentioned in our obfervations on this cafe. 
The {mall number of mufcles ; the manner in which the 
_ counteraét each other; the way in which the weight of ihe 
lower portion of the broken part of the limbmakes a perma- 
nent, though not a confiderable, oppofition to the afcent of 
; the eafe with which the fore 
in ¢ rh 
the latter. 
Weh ard:fome perfons, who do not undertake to de- 
fend t vet a crane of Pott, argue, er the 
aly. 
icherand, in his Nofographie perigee tom. ii. de- 
“nies that the bent poiture is the rkfpme ; and, as far 
as our obfervations extend, patients ernae ae more ae 
plaint at_being compelled to lie, fora long .w 
e pofition: on a fide, than of being Oc tated rs 
b 
P 
continue = ane h of time, on their 
tation of a broken thigh, we fhould maintain that the bent 
pofture effects this oe obje It more or lefs relaxes 
rh tri PS, femi- e wine ee us, bic ceps, 
os 
rit will never difarm and hepa the m 
effeCnslty, as to leave none capable of cae ‘the ends 
of the saacees 
e pre aern ng remarks: tend: to. the conclufion, that 
without neglecting icareeitaed benefits may be derived from 
pofition, we fhould endeavour to increafe the power of fuch 
oem: contri arte as are intended to refift the action 
ort 
the ends of the fracture in. aac {tate of coaptation. 
e the manner in which Mr. Pott 
to accomplith the redu@tion. He ftates, that the pofition 
of the fractured es femoris fhould be on its outfide, reftin 
en the great trochanter 5. the patient’s whole body fhould be - 
inclined 
ie knee fhould be in a middle 
xicn and extenfion, or half-bent ; 
to the fame fide ; 3 
date between perfect fle 
mufcles ona broken thigh, and are calculated to keep | i 
t 
the leg and ae lying ow their outfide, ees ba be well 
{upported by {mogth pillows, and thould be er higher 
in their ee han ree a el Sey very hea folint "of eal, 
hollowed ov ‘with wool, rag, or tow, 
fhould be ak under the eu » from doe the trochanter, 
quite below the knee, and sot — fhorter fhould 
exterd from the groin sg the .infide, or 
rather in this peitur oe ane “fide 5 3; the bandage 
be of the eoensal kind, and when the bone. has 
been fet, and the thigh well placed on the pillow, it thould 
o Ww ek aaripek be ever moved oe it again, until the 
racturé i 
> 
e under Ses 
vad, a an m eighteen -tailed 
e great tro- 
chanter to the outer condyle. The furgeon, before applying 
the aera rour and the reft of the fplints, mutt take care 
ew make the fracture lie as ia as circumitances will 
ppr rebended ed a fracture of the thigh ; is it not: 
1 f° : accompanied with a diftortion of 
the foot outward ? “What i is-the vate = sae - of te and 
foot more than the broken’ os: femoris?’ Is it not to"t 
the ve of Peng ch fo often lames the 
patient, and es ws sae e on “se art of furgery? 
ere we to mention 0 Ft sedarioue oe which: 
n the bent. 
Som & geacies have pro moka to oe fradtured’ 
» thigh in a Bent pofition, with patient lying upon his: 
ack. The iy 18 - - bar on two boards, which meet 
aad form fuck the back of the knee-joint as 
will make the thin a ae ie bend in the defired way.. The 
ics 
ct 
a 
Ht} 
rd 
0 
e) 
2 
za 
® 
we think 
ome years a 
tholomew’s hofpital, and which could be em ploye ed in in any 
Bee of the limb,. in cafes of both fraétured. legs and 
a 
