London's Pulse: Medical Officer of Health reports 1848-1972

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West Ham 1937

[Report of the Medical Officer of Health for West Ham]

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Table IX. Treatment of fractures.

Site of fracture.Cases.Deaths.
Femur7729
Tibia and (or) fibula1192
Ankle or foot26-
Humerus333
Radius and (or) ulna53-
Wrist or hand6-
Ribs31-
Spine16-
Skull306
Pelvis12
Scapula and (or) clavicle33
Patella19
Jaw, face, etc15
Totals47040

Medical notes on the treatment of fractures. The treatment
of fractures is on the most modern lines, and is re-inforced by the
use of the Joseph frame, the Zimmer appartus, and the Hawley
table.
Intra-capsular fractures of the hip are treated by the use
of the Smith-Peterson pin and the Watson-Jones nail, thus
reducing the mortality and enabling the patient to become
ambulant in a few weeks, irrespective of the advanced age of many
patients with this injury.
Excision of the patella for fracture is being performed with
good results.
Mental wards.
Two wards, one for males and one for females,
are reserved for the observation of patients under the Lunacy
Act, 1890. The medical care of these patients is carried out by
the medical superintendent or by the deputy medical superintendent,
and a justice usually attends on three occasions weekly for the
purpose of this Act. The staff of these two wards consists of
9 male nurses and 9 female nurses.