A Method of Citrated Blood Transfusion

OD TRANSFUSION.[M fAIa 477 balance.This reads in 'pounds.I have seen the ischial tuberosity bear a push of 20 lb. for months without making the skin sore.Flexion at the hip can be obtained by bending the splint -or by elevating the foot as with a Thomas.I have seen no tefden yfor 'scoliosis to persist after the splint is remo,ved.Within a day -or two the lumbar vertebrae resume their -normal 'position.Tto of the eases wbhich I have treated with this splint follo'w.The ir-ray plates are shown as black and white drawings, since the plites were too thin to make good prints.e ek~~~Csn I. Driver S. Bullet wdufld, September 30th, 1917.Entrance wound in left groin; exit left great trochantbr.Operation same day: Wounds 'excised and cleaned; bipp.Comminuted fracture of femur-upper fragment in abduction.Abduction splint applied.October 20th: Comfortable; nb fever'; wounds clean.Bodjt cOvered with 'bails due 'to tedaftli.Boil over sacrum ruptured.October 25th: Boil over sherum 'healed; no bedsore.November 16th: X ray showed spiral fracture through lesser trochanter with :eplit running into great trochanter and moderate coIm-initibn.U'pp'er and lower fra;gments in good align'mient.Abdu'tibn sit 'hip of 35 degrees.Some 'calIus nesr lesser t*ochbuter.November 17th: Wounds healed.Bony union-all movements at hip and knee 'good.December 15th: Up and walking in calliper splint.Both legs are the same length.CASE Ir.Pte.J. Bullet wound, October 22nd, 1917.Fracture of left femur at lesser trochanter.Operation: Foreign body removed; wound cleaned; Thomhas splint.November 10th: X ray showed spiral fracture beginning just above the lessbr trochanter 6nd following the spiral line, A B FiG. 5.-Tracings of x-ray plates of Pte.J. A, Fracture while on Thomas splint.Upper fragment in abduction.Angulation at fracture and consAquent shortening.B, Fracture while on abduction splint.Fragments in line with slight over-correction and 1 Cm.over-extension.leaving the lesser trochanter intact on the upper fragment.Considerable comminution and loss of some cortex.Upper fragment is turned out in abduction and is flexed at the hip.Lower fragment in poor line.There is marked angulation at the point of fracture.Plate shows some hazy callus, probably not bony.Operation, November 16th: Fragments forced into position;callus broken up.Nails driven into condyles for extension.Abduction splint applied.On November 18th x ray showed marked improvement.There was slight over-correction (Fig. 5).Abduction angle lessened from 45 to 35 degrees.Alignment perfect.