A system of surgery : pathological, diagnostic, therapeutic, and operative . inary vigilance on the part of theattendant. The treatment consists in maintaining the limb in a perfect state of quietudeby means of two long splints, the foot being supported in a perpendicular direc-tion, with a slight tendency to eversion, which is the most natural position for aperson when he lies on his back, and, therefore, the most eligible for relaxing theexternal rotator muscles when there is a fracture of the trochanter. The brokentrochanter, being drawn into its natural situation, is confined there by a so
A system of surgery : pathological, diagnostic, therapeutic, and operative . inary vigilance on the part of theattendant. The treatment consists in maintaining the limb in a perfect state of quietudeby means of two long splints, the foot being supported in a perpendicular direc-tion, with a slight tendency to eversion, which is the most natural position for aperson when he lies on his back, and, therefore, the most eligible for relaxing theexternal rotator muscles when there is a fracture of the trochanter. The brokentrochanter, being drawn into its natural situation, is confined there by a softleather belt, long enough to extend round the pelvis, and furnished with a sortof hollow pad, from three to four inches in diameter, for the purpose of embrac-ing more effectually the prominence of the hip. Hardly any extension will benecessary. If the soft parts are much contused, leeches and fomentations shouldbe applied before putting on the permanent dressings. After the patient hasbeen confined for a month, he may be permitted to exercise on crutches. The Fig. Sir Astley Coopers mode of treating fractures of the great trochanter. annexed cut, fig. 47*7, represents the mode of treating fractures of the greattrochanter recommended by Sir Astley Cooper. The great trochanter is occasionally detached from the neck and shaft of thefemur, by the forcible laceration of the fibro-cartilage by which it is connected tothese parts during its epiphysary state. The accident, which is one of uncom-mon occurrence, and which is usually produced by a severe fall upon the hip, isalways extremely difficult of diagnosis, owing to the fact that there is seldommuch, if any, appreciable displacement. In most of the recorded cases therewas much diversity in the symptoms; in some, the patient was able to walkimmediately after the accident, while in others he had lost all control over themuscles of his limb; in some, the foot was everted, while in others it preservedits natural position, or
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
