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Certain practical disadvantages in the use of Buck's extension in the treatment of fractures of the femur have long been familiar to the profession. They are the relative fixation of the limb to the bed, with its consequent relative immobilization of the body, and the lack of efficient lateral control of the broken ends of the fragments. Volkmann's chariot did something to relieve the former, in that it permitted the position of the limb and body to be shifted up and down in the bed, but we are all still familiar with the irksomeness of the confinement and with the frequently repeated requests of the patients to relieve their discomfort by some shift of position or adjustment of the dressing.
The Hodgen suspended splint was a great improvement in this respect, and, in addition, gave the opportunity measurably to control the ends of the fragments by adjustment of the supporting
STIMSON LA. AN IMPROVED METHOD OF USING TRACTION IN THE TREATMENT OF FRACTURE OF THE FEMUR. JAMA. 1910;LIV(6):462-463. doi:10.1001/jama.1910.92550320009002n