From 80% Mortality to 16% — The Splint That Changed Broken Leg Care

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Shared May 7, 2026

The Thomas Splint Explained — How a 150-Year-Old Device Still Saves Lives #splint . The Thomas Splint remains one of the most consequential innovations in the history of orthopaedic surgery — and one of the simplest. #medicalhistory . Designed in 1875 by Hugh Owen Thomas, this device applies continuous longitudinal traction against a fixed ring seated at the ischial tuberosity. The mechanism counteracts the powerful contraction of the thigh muscles that follows a femoral shaft fracture — preventing the displacement, vascular compromise, and hemorrhagic shock that made these injuries so deadly before the twentieth century. #thomassplint #orthopedics . The splint's impact became undeniable during World War I. Prior to its widespread adoption, mortality from battlefield femur fractures approached 80 percent. After Sir Robert Jones mandated its use across the Western Front in 1916, that figure dropped to approximately 16 percent. The reduction cannot be attributed to the splint alone — advances in wound care contributed — but the device fundamentally changed how we stabilize long bone fractures in the field. . What strikes me most is the elegance of the design. A metal ring. Two iron rods. Leather straps. A tongue depressor to apply traction. No electricity. No sterile environment required. It can be applied in minutes by two people — in an emergency department, an ambulance, or a disaster zone. One hundred fifty years later, the Thomas Splint remains standard equipment in trauma bays and emergency kits worldwide. Its functional design is essentially unchanged. In settings where surgical fixation is delayed or unavailable, it still serves as definitive treatment. . Some innovations endure because they solve the right problem with the right amount of complexity — and nothing more. . 📲 SUBSCRIBE NOW for new #surgery videos ▶️ loom.ly/YWVhehQ About Dr. Cory Calendine, MD #orthopedicsurgeon #jointreplacement In the operating room, I get to perform more than 600 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health THANK YOU for your comments, questions and suggestions. If there’s a medical topic or question you want me to discuss, please comment below. We are building a library of orthopedic medical video content focused on your requests and responses. 📽️ Watch latest hip & knee surgery videos ▶️    / @bonedoctor_youtube   𝐋𝐄𝐓'𝐒 𝐂𝐎𝐍𝐍𝐄𝐂𝐓: TikTok ▶️ www.tiktok.com/@corycalendinemd LinkTree ▶️ linktr.ee/corycalendinemd 𝐁𝐔𝐒𝐈𝐍𝐄𝐒𝐒 𝐄𝐌𝐀𝐈𝐋: admin@corycalendinemd.com 🌐 www.corycalendinemd.com/ 💻 Schedule Appt Online ▶️ phreesia.me/CCalendine 📍 3000 Edward Curd Ln, Franklin, TN 37067 📞 (615) 791-2630 𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑𝐒: Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qu