The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . of thefemoral neck and pubic dislocation can always bemade, when it is remembered that the outward turn-ing of the fractured thigh is not accompanied byimmobility, under an anaesthetic, nor by a Hexed andabducted position which will not yield to the length of the limb can be restored by makingtraction, in a fracture of the neck, but not in a dis-location. The prominent tumor formed by the headin its new location will settle absolutely the difieren-tial diagnosis. Treatment of Pubi
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . of thefemoral neck and pubic dislocation can always bemade, when it is remembered that the outward turn-ing of the fractured thigh is not accompanied byimmobility, under an anaesthetic, nor by a Hexed andabducted position which will not yield to the length of the limb can be restored by makingtraction, in a fracture of the neck, but not in a dis-location. The prominent tumor formed by the headin its new location will settle absolutely the difieren-tial diagnosis. Treatment of Pubic Dislocations. — Bigelow recommends the followingplans:— (1) In the forward luxations, as in those backward, the new method in-volves the necessity of flexion, for the purpose of relaxing the Y ligament;but it is to be remembered that abduction, and not adduction, is the mostfavorable position for replacement. Proceed by flexing and abducting thethigh—carrying the knee up, and then out, in other words—and make trac-tion in the direction of the axis of the thigh bone, having an assistant, at. Pubic dislocation. 696 INJURIES OF THE JOINTS. the same moment, press the bead of the boi^ downward and outward towardthe acetabulum. A modilication of this method, sometimes successful, is as follows: Flexthe thigh to a right angle with the body, and rotate the shaft of the bonestrongly, either inward or outward, so as to wind up, as it were, the Y liga-ment upon the femur. With the hand of the surgeon, or of an assistant,pressing strongly upon the head of the bone, swing the limb downward toits place. (2) The surgeon seats himself at the patients feet, places one foot in theperineum, making counter-extension against the pubis and ischium, androtates the limb inward by turning the foot. With his hand, or with atowel around his shoulders, he makes strong traction, and while this is keptup, assistants are ordered to lift the patients bod}^ to a sitting posture. (3) The patient is la
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1881
