. Minor and operative surgery, including bandaging . eformity, except in casesof fracture at the lower end of the fibula, when the footinclines to the injured side. Treatment.—The dressing of fractures of both bones ofthe leg, or of fracture of the tibia or the fibula alone,except in cases where the lower portion of the fibula is theseat of injury, is best accomplished by the use of a fracture-box. The displacement being overcome as far as possibleby extension and manipulation, the leg is placed in afracture-box, which is prepared for the reception of thelimb by having the sides let down and h
. Minor and operative surgery, including bandaging . eformity, except in casesof fracture at the lower end of the fibula, when the footinclines to the injured side. Treatment.—The dressing of fractures of both bones ofthe leg, or of fracture of the tibia or the fibula alone,except in cases where the lower portion of the fibula is theseat of injury, is best accomplished by the use of a fracture-box. The displacement being overcome as far as possibleby extension and manipulation, the leg is placed in afracture-box, which is prepared for the reception of thelimb by having the sides let down and having a soft pillowlaid in it; the foot is next secured to the footboard by aloop of bandage passed around the foot, the ends beingtied after passing through the slots in the footboard ; a padof oakum or cotton is placed under the tendo-Achillis, to 26 402 FRACTURES. relieve the heel from pressure, and a similar pad is placedbetween the sole of the foot and the footboard (Fig. 297).The sides of the box are then brought up and secured by Fig. Application of the fracture-box. two or three strips of bandage tied around the box. Inusing a fracture-box in the treatment of fractures of thebones of the leg the surgeon should see that the foot is Fig. 298. r- ?•/ Plaster bandage applied to fracture of the leg. kept well down to the footboard and is at a right anglewith the leg, that there is no eversion of the knee, and thatthe pillow is full enough to make equable pressure uponthe leg when the sides of the box are secured, and that FRACTURES OF THE BONES OF THE LEG. 403 the heel is not subjected to undue pressure, the use of apad of oakum or cotton under the tendo-A chillis beingemployed to prevent this complication. Where there is atendency to tilting upward of the lower end of the upperfragment, the lower fragment can be brought in line with Fig. 299.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectbandagesandbandaging
