Atlas and epitome of traumatic fractures and dislocations . e utilized for extension. til it is has been done are we ready to measure between thecorresponding points on the sound leg and compare theresult with that obtained on the injured side (Fig. 128). While this description appears somewhat complicated,the procedure, as a matter of fact, becomes quite simpleafter a little practice, and is exceedingly important if afavorable result is to be hoped for. Mensuration not infrequently shows that simple exten-sion, even with a heavy weight, is inadequate to overcome 278 FBACTUBES AND DISLOCATIONS
Atlas and epitome of traumatic fractures and dislocations . e utilized for extension. til it is has been done are we ready to measure between thecorresponding points on the sound leg and compare theresult with that obtained on the injured side (Fig. 128). While this description appears somewhat complicated,the procedure, as a matter of fact, becomes quite simpleafter a little practice, and is exceedingly important if afavorable result is to be hoped for. Mensuration not infrequently shows that simple exten-sion, even with a heavy weight, is inadequate to overcome 278 FBACTUBES AND DISLOCATIONS. the deformity. In such cases the old rule, to brmg thelower fragment into the same position as the upper one,must be followed. The injured leg is brought into a posi-tion of moderate abduction and flexion, and extension byweights is applied both in the longitudinal direction andlaterally, so as to limit the abduction of the upper frag-ment. In children vertical extension is an excellent fear of bringing about anemia of the leg and insuffi-. Fig. 130.—Extension bandage in fracture of the left thigh withouter extension on the sound side and lateral traction on the upperfragment to limit abduction. cient development of callus by vertical elevation is, I amsure, unfounded except in the rarest cases. I have neverexperienced it, and the difficulty could readily be over-come by applying an elastic bandage (india-rul)ber drain-age-tube, see page 53) with slight pressure around thethigh above the seat of fracture. In new-born and very small children the best methodof treatment consists in fixing the thigh in extreme flexion FRACTURES OF THE LOWER EXTREMITY. 279 on the abdomen by means of a broad strip of adhesiveplaster passed around the entire body and thigh. A plaster-of-Paris dressing is sometimes indispensableif the patient is to be transported, or if delirium tremensmakes its appearance. It is becoming more generallyused, as it enablesthe patient towalk at an earl
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
