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it was more comfortable if he put it in the swing at night or when it got tired. He recovered with three inches of shortening.

Resection of the Hip:-Of six cases of resection of the hip for acute and chronic osteomyelitis and one for gun-shot injury, all recovered. In all of these the comfort of the patient and the facility with which they could be dressed and the position of elevation favoring drainage contributed largely to the recovery. The gun-shot case was one of a good deal of interest in itself, but of particular interest in showing the great amount of aid derived from the use of this splint. A rifle ball struck the great trochanter up to; and including, the articular head of the bone which was broken into three pieces. The remaining portion of the shaft was split into three pieces down to the lower third. A violent hemorrhage took place from which the patient suffered severely from shock, most of the blood, however, being confined to the large torn up space in the muscles of the thigh and gluteal region. When he was brought in a few hours later he had recovered from the shock in part but dark blood was still oozing from the bullet wound in large amount. The space was at once opened up and a pint or more of dark blood turned out. A few of the loose fragments of bone were removed and drainage provided. Sepsis came on rapidly and in a few days the whole space was opened up and the shattered remains of the hip bone resected. The limb was swung up in the Hodgen splint and hot, wet dressings applied twice daily. The suppuration was exhausting for a month or so, and new incisions had to be made several times. With the limb suspended, however, a douche pan could be slipped under the buttocks and the dressing changed very quickly and easily. He recovered with six inches shortening, and though the limb can be of very little use to him he preferred to keep it.

In another case, Photo No. 7, the left thigh, which was amputated in the upper third, became infected and suppurated severely. The right thigh was fractured in the middle third. With the right thigh hung up in the Hodgen, the dressing of the left suppurating stump was made exceedingly easy. One who has not had the assistance of the Hodgen splint in dressing such a case can have no adequate idea of the saving in time, work, assistants, sepsis, suffering and life and limb afforded by it.

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No. 7. Simple fracture, middle third of thigh. Hodgen Splint, modified.

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No. 8. Compound comminuted fracture of thigh with extensive laceration of soft parts.

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