Since the ambulatory treatment of fractures has been described by Krause in Germany and by Hood and Sir William Bennett, of England, the American surgeons seem to begin to take to it more in a few selected cases.

    Every simple fracture of the extremities should be treated by massage before being reduced; we can, by gentle manipulations above and around the fracture, draw the effusions away. The nearer a joint the fracture, the more important the massage becomes. The operator should of course be very careful in handling the injured member and it is necessary to have someone to assist in supporting it.

    In fracture of the patella we must take special care of the quadriceps extensor femoris and we must prevent adhesions of the fragments above and below. In giving the massage around the knee we hold the fragments together with the thumb and index finger of one hand and work with the other hand.

    In severe fractures with complications treated by the old method the masseur is often called upon to deal with some difficult conditions. Where there is impaired motion from faulty nerve or muscle action the operator should carefully find out which muscles are the weaker and massage them; he should also overcome contractions of the antagonists by movements or splints even, if necessary.

    Strokings of the inside of the whole extremity affected are necessary to restore the circulation. Anyone interested in the treatment of fractures should read the two following books: ``Massage in

    The active movements are sometimes indicated.

    In Figs. 124 and 125 we have represented two