FRACTURE:: 
then a 
‘the preffure made on the 
aac of the limb, whenever the patient We a motion 3 
fo fteadily as : Paar it 
fh Sek wdce the arta of the thigh; the 
thighe a 
efs 
efault alfo cote “that what is gained by the relaxa~ 
tion of fome mufeles in the bent pofition, is loft by t 
tenfion of others 
sar ae out of the preceding reafons, only a few could 
be feleéted, as’ carrying any material degree of validity. 
“Thefe ‘appear an us aa be the. following ; ; the irkfomenefs of 
the b ent poiture in pine the patient is ae to lie, for 
ie 
Default ufed to prefer applying the- extending power to 
the foot, in order to have the i ae e of a long lever, 
and to avoid preffing hee ibtating the miafle of the thigh, 
fo as to make them r efit e reduétion of the fracture with 
Default has. spr feed ee the ote apprehension i is deftitute 
of foundat 
ofa ult took care to put his patients with broken ie 
on firm mattreffes, which would not give way to the weight 
of the body, and allow a change of pofture to take place. 
‘This method is y. deferving of imitation in all our 
public se aici the bent or the extended pofition 
be a 
Defnal } maintains, that’ as the object of every apparatus 
for a dials ai thigh fhould be to es the ends of the 
nical contrivance 
the caufes 
ame tim me, 
t is alfo ae a y Default, that the apparatus fhould 
be ‘capable of refifting the rotation of the lower portion of 
n be difpen when 
anfverfe, ay not at all difplaced in en danielle a 
cn of the bone. 
The fame diftinguifhed furgeon enters into a confidera~ - 
tion of the effect of the different pieces of the apparatus 
for fractured thighs, and he endeavours to fhew, that httle 
any of the means, unlefs they are 
ent extenfion 
mmon mode of operating ; they 
prefs the mufclés towards the ends of the broken bone, and 
make them form a fort of natural cafe for the frature. 
In fhort, bandages m make a kind of lateral refiftance to the 
parts. Upon this principle, they are of material fervice in 
bape any difplacement of ae fracture — and 
e they are moft ufeful when the folution of continuity is 
abet ‘But, Default enquires, what is there — hinder 
the two inclined furfaces of an oblique fraCture from 
flipping one over the other? What power is there to hinder 
the limb the effeéts of accidental eel 
laft objeét is anes 
r e 
" what fulfilled by the preffure, and that in this operation the, 
chief utility of the bandage confifts ; but, he afks, whether 
uch compreffion will be —— to prevent the longitu- 
inal difplacement of the bone, particularly when the 
bandage is flackly put on, as fome praétitioners recom- 
Thefe — tel alfo to compreffes ; 5 petit moyes 
contre une grande 
Splints are vfeful j in firmly fixing the limb, and guarding 
it from the effects of | fhocks, or of contra@tions of 
the mufcles. ey operate more as ars erfully than bandages ~ 
in if phate 3 od derangene t, and, hence, they fuffice 
r tran ae rie fraGtures, witho ‘ a ermanent extenfion, — 
yed. . The . can alfo refiit the rotation of the . 
nward. ” But when the breach. of con- 
cy 
the eae of the ie part 0 
The pads are chiefly ufeful in erping the limb bon — 
galled by the fplints, and tend 0 only trivially to keep the 
fracture from being difplaced. 
Rts rom the above’ account : “appears, that the ordinary 
not execute any permanent 
extenfon may perhaps pr ie tranfverfe fra€tures, which. 
n; but, Fhe are .dlw: ve a 
two-fold indication hes drawing downw 
the fraGture, and ing the other one —_ 
Default afcertained, oa ee the objet particulary . be 
med. 
