In all cases of fracture, to restore and maintain the limb in its normal position, extension and counterextension between bony prominences, or a flexed segment of the limb, above and below the fracture, must be employed.1 To this must be added immobilization, when normal position of the limb is accurately secured. In addition to the above principles, the open dressing, in compound fractures, is of primary importance for obvious reasons. Every splint should permit of inspection, bathing, ventilation, etc. There should be no circular constriction of the limb to retard the circulation. The effects of impaired circulation, delayed union, ischemia, stiff joints, and in some cases non-union, can be ascribed to this interference.
It is safe to say that fully one-half the fractures of the leg should be treated by the ambulatory method. Many patients assume the erect position in spite of the warnings of their medical attendant. The
HUGHES JG. NEW METHODS FOR THE APPLICATION OF OLD PRINCIPLES IN THE TREATMENT OF FRACTURES AND DEFORMITIES OF LIMBS.. JAMA. 1901;XXXVI(7):424-426. doi:10.1001/jama.1901.52470070010001c