Röntgen ray diagnosis and therapy (1904) (14571576730)

Identifier: rntgenraydiagn00beck (find matches)
Title: Röntgen ray diagnosis and therapy
Year: 1904 (1900s)
Authors: Beck, Carl, 1856-1911
Subjects: Radiotherapy Diagnosis, Radioscopic
Publisher: New York, London, D. Appleton and Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons



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Tibia and Fibula taken through Plaster-of-Paris Dressing. enable us to make a thorough diagnosis of the anatomical rela-tions of the fragments as well as to outline our operative steps inadvance. The author has taken every opportunity to criticise thedeplorable indifference and to emphasize the feeling of security thesurgeon enjoys now while proceeding under the mentorship of theskiagraph. The direction of the displacement can easily be ascer-tained, and if two or three weeks only have elapsed, the refractureunder ansesthesia at the edge of the table will often suffice to cor-rect the malunion. Fig. 235 shows a case of fracture of the surgical neck of thehumerus, in which the diaphysis had slipped upward alongsidethe head of the humerus, so that union had taken place in juxtapo- 312 THE KONTGEN BAYS sition. Although five weeks had elapsed, refracturing the frag-ments by bending them over the edge of the table was successful.Without the guidance of the rays, which showed the anatomical
Text Appearing After Image:
Pig. 235.—Fracture of the Surgical Neck of the Humerus—Juxtaposition. TREATMENT OF DEFORMED FRACTURE 313 relations most clearly, the author would have had neither thecourage nor the ability to perform the correction, which, in fact,was done easily enough, since it could be estimated exactly how todirect the force of the manipulations. In transverse fractures re-fracture may even he tried months afterward, provided there isaxial displacement (see Figs. 33, 34, 35). If such procedures fail, the only remedy consists in osteotomyin the fracture-line. This is especially indicated when the frag-ments are in juxtaposition (Fig. 246). If thorough aseptic pre-cautions are taken, tearing of the wound edges espei tally beingavoided, and the wound itself coming in contact with the handsof the surgeon as little as possihle, no reaction will take place In fracture of a single bone, such as the femur or humerus, alongitudinal incision should, as a rule, be made over the mostprominent part of the