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February 3, 1923


Author Affiliations


JAMA. 1923;80(5):319-320. doi:10.1001/jama.1923.26430320001011

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Splints for the fractured patella have been generally unsatisfactory. The adhesive plaster used in making traction on the bones must pull on the skin and the soft tissue before it starts to draw on the bone. There is, in consequence, a redundancy, a wrinkling and compression of the soft tissues in the area between the broken fragments. The correct application of the splint here illustrated will give a direct grip and pull on the bones, while the superficial soft tissues can be drawn from under, both above and below the clutches. This gives a sufficiently taut superficial tissue covering the patella to prevent encroachment between the bones, which can be manipulated to coax out any synovial membrane that might be caught between them.

As a preliminary, the splint should be trued. It can be placed on a table or other flat surface. The upright arms are placed vertical, and opposite

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