A treatise on orthopedic surgery . fix the pelvis. That on the in-jured side is then under traction slowly abducted, the surgeonsupporting the joint with his hands and pressing the trochantergently downward. The limitation of abduction, caused bycontact of the deformed neck with the upper border of the ace-tabulum, is recognized, but it is easily overcome. When thelimit of normal abduction is reached it may be inferred that theproper relation between the neck and shaft of the femur has beenrestored. The outward rotation is then corrected and the limb issecurely fixed in this attitude by a long
A treatise on orthopedic surgery . fix the pelvis. That on the in-jured side is then under traction slowly abducted, the surgeonsupporting the joint with his hands and pressing the trochantergently downward. The limitation of abduction, caused bycontact of the deformed neck with the upper border of the ace-tabulum, is recognized, but it is easily overcome. When thelimit of normal abduction is reached it may be inferred that theproper relation between the neck and shaft of the femur has beenrestored. The outward rotation is then corrected and the limb issecurely fixed in this attitude by a long plaster spica until repairis sufficiently advanced (Fig. 394). It may be noted that thismethod of reducing the deformity by abduction followed by theimmediate application of support, hardly corresponds to whatis known as the breaking up of an impaction. Far fromendangering union it should favor it by actually apposing thefractured surface. If the fracture is complete the same treatment is adopted 590 OETHOPEDIC The abduction treatment of fracture of the neck of the right femur, illus-trating the reduction of the deformity by direct traction and abduction. Theoperator supports the joint. The left limb is abducted to indicate the normalrange, which varies in different subjects, and to prevent tilting of the pelvis.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
