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October 8, 1927

The Thomas Splint and Its Modifications in the Treatment of Fractures.

JAMA. 1927;89(15):1272. doi:10.1001/jama.1927.02690150082045

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The ground work of this monograph is the work of the late Hugh Owen Thomas, and more particularly the principles of his knee-joint splint. The British mortality from shock in cases of compound fracture of the femur was reduced from 80 per cent in 1916 to 15.6 per cent in 1917, chiefly as the result of the immobilization secured by the early application of the Thomas splint. The author has considered every detail of the apparatus, which is described from the standpoint of efficiency and comfort. The accuracy of the adjustment of deformity and the action of mechanical devices designed to lessen the burden of suffering were important factors in obtaining good results and in maintaining the morale of the soldiers. In the preliminary consideration the author gives a concise account of these important factors in the consideration of fractures. He describes the position of election for ankylosis of the

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