This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor:
—In The Journal, January 10, Dr. Walter I. Galland describes a "modified Whitman spica" for the treatment of fracture of the neck of the femur. In his opening paragraph Dr. Galland makes several statements which are so completely at variance with my own experience, and, I am sure, with that of every one who knows how to apply a plaster-of-paris spica bandage, that I am compelled to correct the impression the doctor creates, namely, that undesirable results attend the use of the ordinary or, what Dr. Galland calls, a "full" spica.Dr. Galland says that the application of a full spica, extending from the ribs to the toes in an elderly patient, is an expedient often fraught with serious consequences. On account of the dorsal decubitus which the spica necessitates, plus the undue confinement of the costal cage, with consequent diminution of the respiratory excursion, the patient
Kleinberg S. USE OF WHITMAN SPICA. JAMA. 1931;96(8):631. doi:10.1001/jama.1931.02720340061024
Customize your JAMA Network experience by selecting one or more topics from the list below.