The treatment of fractures . y other permanent inverting apparatus is neces-sary or proper. The wooden lateral splints, shownon page 159, Fig. 43 will serve. Far more comfort-able and efficient, however, is a plaster-of-Paris cast orsplint carefully applied. This should be well paddedabout the malleoli. This dressing may be worn forthree weeks; then it should be removed, the joint becarefully inspected, the skin be bathed with alcohol,and gentle massage employed. The same splint, ifcut carefully, may be reapplied and held in place bya roller bandage or adhesive strips, and be wornfor another w
The treatment of fractures . y other permanent inverting apparatus is neces-sary or proper. The wooden lateral splints, shownon page 159, Fig. 43 will serve. Far more comfort-able and efficient, however, is a plaster-of-Paris cast orsplint carefully applied. This should be well paddedabout the malleoli. This dressing may be worn forthree weeks; then it should be removed, the joint becarefully inspected, the skin be bathed with alcohol,and gentle massage employed. The same splint, ifcut carefully, may be reapplied and held in place bya roller bandage or adhesive strips, and be wornfor another week. The splint after this may beremoved, the limb again be bathed with alcohol andmassaged, and only a flannel roller bandage be massage for a week or two weeks longer shouldbe used, and very gradual use of the extremity withthe assistance of crutches be permitted. Fkactures of the Bones of the Leg. 1(j(.» The first week after the injury, when a plaster-of-Paris splint is used, the patient had best be kept in. Fig. 49. Dupuytrens in order to keep the muscles of the extremityquiet. After this, however, thepatient may be allowedto be up and about on crutches. This is the greatadvantage of the plaster dressing over all others,namely, it permits the patient to be up and business man, if he is blessed with a fair supply ofdiscretion, may be allowed to go to his office, if hiswork and situation will permit him to sit and havesupport for his injured member during the day, afterthe second week of treatment. Fractures of the Malleoli.—Not uncommonly theinternal malleolus is broken without any displace-ment of the ankle-joint, and very little separation ofthe fragments. This fracture requires simple restand moderate fixation and pressure. I prefer totreat this fracture as I would a bad sprain at theankle-joint, viz., by snug strapping with adhesiveplaster. The layers are begun at the ball of the footand are carried upward, each succeeding strip over-l
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractures, bookyear19
