. Modern surgery, general and operative. -splints or a fracture-box for two weeks, when a plaster-of-Paris or a silicate dressing may be substituted and the* patient ordered to use 696 Diseases and Injuries of the Bones and Joints crutches. Remove the plaster four or five weeks after it is applied, and directthe patient gradually to bear his weight upon the leg, as outlined above. Separation of the lower epiphysis of the tibia is a rare accident, but is com-moner than separation of the upper epiphysis. The treatment is a fixed dress-ing for six weeks. Fracture of the fibula alone is commoner b
. Modern surgery, general and operative. -splints or a fracture-box for two weeks, when a plaster-of-Paris or a silicate dressing may be substituted and the* patient ordered to use 696 Diseases and Injuries of the Bones and Joints crutches. Remove the plaster four or five weeks after it is applied, and directthe patient gradually to bear his weight upon the leg, as outlined above. Separation of the lower epiphysis of the tibia is a rare accident, but is com-moner than separation of the upper epiphysis. The treatment is a fixed dress-ing for six weeks. Fracture of the fibula alone is commoner by far than is fracture of the tibiaalone. Fractures in the upper two-thirds, which are rare, are usually due todirect force. Fractures in the lower third are frequent, and arise from indirectforce. Fractures of the Upper Two-thirds of the Fibula.—In these fractures thecause is direct force. Symptoms.—In fracture of the upper two-thirds of the fibula the patientis frequently able to walk. The bone is deeply situated, and displacement. Figs. 433, 434.—Fracture-box in fractures of the bones of the leg. cannot often be detected. There is a fixed pain, which is intensified by move-ment and by pressure. Pressure upon the lower fragment does not movethe upper fragment. Crepitus is sometimes obtained, and linear ecchymosis isapt to appear. The bone is normally elastic, hence slight mobility is of no valuediagnostically. Treatment.—In treating a fracture of the upper two-thirds of the fibula applya plaster-of-Paris or a silicate bandage and direct that it be worn for five is not to be put upon the foot for six weeks after the accident. Fractures of the Lower Third of the Fibula.—In these fractures the cause isusually indirect force, especially twists of the foot. Forcible inversion of the footpulls upon the external lateral hgament and the external malleolus, forces the Potts Fracture 697 fibula outward, and tends to break it, the lower fragment being displaced ou
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