. A practical treatise on fractures and dislocations. tactwith the ground. In those that become secondarily compound thesloughing of the soft parts may be due to the pressure of the unre-duced bones or to bruising of the soft parts inflicted at the time ofdislocation. Statistics that have been collected from the period anterior to theintroduction of antiseptic methods cannot be trusted to show the neces-sity or desirability of amputation or excision. Later ones (Scudder3)show that conservative treatment may be safely tried in many or excision is indicated when infection is cer
. A practical treatise on fractures and dislocations. tactwith the ground. In those that become secondarily compound thesloughing of the soft parts may be due to the pressure of the unre-duced bones or to bruising of the soft parts inflicted at the time ofdislocation. Statistics that have been collected from the period anterior to theintroduction of antiseptic methods cannot be trusted to show the neces-sity or desirability of amputation or excision. Later ones (Scudder3)show that conservative treatment may be safely tried in many or excision is indicated when infection is certain, thepatient feeble, or the functional result otherwise likely to be the loss of the astragalus nor anchylosis of the ankle-jointusually causes much disability. Particular attention must be givento drainage, and as the astragalus completely fills the space between 1 Schubert: Deutsche Zeitschrift fur Chir., 1904, vol. lxxii. p. 396. 2 Lancet, 1856, ii. p. 60. 3 Scudder : Boston Medical and Surgical Journal, April 7, 1892. PLATE LI Subastragaloid Dislocation. DISLOCATIONS AT OR NEAR THE ANKLE HlZ) the malleoli separate drainage must be provided for the back and frontof the joint. The limb must be carefully immobilized with the foot .it ;i rightangle to the leg and without inversion or eversion, in order thai if (liejoint, should become stiff the disability will not be increased by ;tfaulty position of the foot. SUBASTRAGALOID DISLOCATIONS. DISLOCATON OF THE AS-TRAGALO-CALCANEOID AND THE ASTRAGALO-SCAPHOIDJOINTS. For the establishment of this group in the classification of disloca-tions of the tarsal bones we are indebted to Broca,1 who, in a remark-able paper read before the Societe de Chirurgie in 18o2, carefullyanalyzed the scattered cases that had been reported under various titlesand gave a detailed and systematic description of the various forms ofthe injury, to which little has since been added except in amplificationof the statistics. His plan of subdi
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