Le traitement des fractures . en le tournant sur le côté sonore. Afin de faire tourner un patient sur le côté du son support lemembre séparé au genou d'une main et saisir la bande thoracique de l'autre ; Le patient est alors facilement tourné dans son ensemble. Les points les plus susceptibles de souffrir de la pression sont ceux à LA RUPTURE DE LA JONCTION DU TRAITEMENT DE LA HANCHE 273 de la bande de cuisse et de la tige, la courbure inférieure de la tige, et la jonction de la tige et de la bande de poitrine. Les points pressedupon doivent être légèrement habillés avec du collodion flexible et pro-tecté de plus de pression en rembourse au-dessus et au-dessous. Appuyez sur

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The treatment of fractures . by turning him on the soundside. In orderto turn a patient upon the sound side support thefractured limb at the knee with one hand and grasp the chest-band with the other ; the patient then is readily turned as a whole.The points most likely to suffer from pressure are those at the FRACTURE OF THE HIP TREATMENT 273 junction of the thigh-band and stem, the lower bend of the stem, and the junction of the stem and chest-band. Points pressedupon should be lightly dressed with flexible collodion and pro-tected from further pressure by padding above and below. Ifthe pressure of the whole body portion of the stem is complainedof, a small, thin mattress of hair or a sheet folded to severalthicknesses may be placed between the splint and the patientsback. Threatened hypostatic congestion is obviated by raisingthe head of the bed from one to three feet, the patient meanwhilebeing prevented from slipping down by tying the splint to thehead of the bed. In all cases obviously unimpacted and in all. Fig. 372.—Skiagram tracing of patient two and a half years of age, after the accident, illustrating the deformity of the neck and of the upper extremity of the shaft, also the eleva-tion of the pelvis on the affected side (after Whitman). cases when the shortening is more than three-fourths of an inch, traction should be applied. In all cases the splint should be kept on for from six to eightweeks after all pain has ceased ; then the patient should remainin bed four weeks longer without any treatment whatever, unlessthere is some positive indication to the contrary, in which casethe splint is cut off at the knee and the calf-band riveted at thispoint and the patient permitted to go about with crutches. In addition to the use of the Thomas splint, it may be wise tomake lateral pressure, as suggested by Senn, over the trochanterof the broken hip with the expectation of more firmly fixing thebroken bone. Lateral pressure may be secured by a surcingleor by a ba

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