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New Zealand Medical Services in Middle East and Italy

Splinting of Fractures:

Splinting of Fractures:

1.

Humerus: The most satisfactory splint for transport was the adduction plaster with a cap plaster over the shoulders, slabs well moulded round the upper arm, liberal padding in the axilla between the arm and the chest, the whole bandaged to the chest by circular plaster bandage, the forearm being included in both the slabs and the circular bandage, leaving the hand free.

2.

Forearm and wrist: Plaster slabs were used with circular turns but without restricting movement of the metacarpo-phalangeal joints.

3.

Femur and knee joints: The New Zealand Tobruk method was the normal application of the Thomas splint—slightly bent at the knee with elastoplast extension, and flannel slings. Then a posterior plaster slab was applied outside the slings from the buttock to three inches above the ankle. Padding was then put between the limb and the splint and in front of the limb, a roll of coarse wool being used. A circular plaster bandage was applied from the groin to just above the ankle, the foot being suspended in the foot-piece by strapping. Extension just to steady the limb was applied. The spare space usually present at the outer part of the ring was filled by padding or a moulded plaster pad. Extension to correct shortening was contra-indicated by the danger of the ring riding over the tuber ischii and the formation of pressure sores during transit.

4.

Tibia, fibula, and feet: Plaster splints were applied from the upper thigh to beyond the toes, but allowing of toe movement. All plasters were well padded and were also cut up before evacuation to prevent interference with circulation.