A practical treatise on fractures and dislocations . oderately, and to give to the foot agentle rocking motion. If more force is needed, it may be appliedby placing the limb over a firm double-inclined fracture-splint, andmaking the extension by the aid of a screw attached to the foot-board,as we have suggested in certain cases of dislocation at the knee. Orwe may employ the pulleys after the manner represented in the accom-panying drawing, Fig. 336. Charles Sauer, aged about 30 years, while carrying a weight upon DISLOCATIONS OF LOWER END OF TIBIA INWARDS. 759 his shoulders, on the 6th of May
A practical treatise on fractures and dislocations . oderately, and to give to the foot agentle rocking motion. If more force is needed, it may be appliedby placing the limb over a firm double-inclined fracture-splint, andmaking the extension by the aid of a screw attached to the foot-board,as we have suggested in certain cases of dislocation at the knee. Orwe may employ the pulleys after the manner represented in the accom-panying drawing, Fig. 336. Charles Sauer, aged about 30 years, while carrying a weight upon DISLOCATIONS OF LOWER END OF TIBIA INWARDS. 759 his shoulders, on the 6th of May, 1854, slipped upon the sidewalk,and fell, dislocating the left tibia inwards, and fracturing the fibulafour inches from its lower end. I was in attendance soon after theaccident occurred, and found the tibia projecting inwards, with theother symptoms usually accompanying a simple rotation of the astrag-alus upon its axis. Seizing the foot with my hands, and flexing theleg, while an assistant held up the thigh and made counter-extension, Fig. I had scarcely begun to pull upon the foot before the reduction waseffected. Dupuytrens splint was at once applied, and the subsequentinflammation was so trivial as scarcely to deserve notice. In six weeksthe limb was sound, and free from all anchylosis. In my report on dislocations, made to the New York State MedicalSociety for the year 1855, I have mentioned twelve similar examples,in addition to some examples of compound dislocations, all of whichwere easily reduced, but the results were not always so favorable. If, as rarely happens, the tibia is broken obliquely into the joint,the complete reduction of the dislocated tibia may be found impos-sible, owing to the obstacle presented by the displaced fragment. The following I am disposed to regard as examples of dislocationaccompanied with fracture of the tibia within the articulation: Brockway, of Cortland, N. Y., aged about twenty-seven years, con-sulted me, at my office, a few y
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
