. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. andage, MODERN 1KI-\r\ll\r OF COMPOUND FRACTURES. 381 and discard cane. At the eighth to the tenth month remove all support(Scuddcr.) The operative treatment consists in the reduction and fixationof the fragments which are held in place by wire or animal sutures,after which the limb, in an extended position, is immobilized by somefixed dressing. If the operation is performed with aseptic precaution,the drainage may be re
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. andage, MODERN 1KI-\r\ll\r OF COMPOUND FRACTURES. 381 and discard cane. At the eighth to the tenth month remove all support(Scuddcr.) The operative treatment consists in the reduction and fixationof the fragments which are held in place by wire or animal sutures,after which the limb, in an extended position, is immobilized by somefixed dressing. If the operation is performed with aseptic precaution,the drainage may be removed on the second or third day. Postoperative Treatment.—At the end of about four or six weeksfrom the injury union will be found. The retentive straps and coap-tation splints should now be removed, and the leg immobilized by aplaster-of-Paris splint extending from below the calf of the leg to thegroin. Fixation (prevention of flexion and extension) on walking isto be maintained for at least six months after the injury. Protectingthe knee thus when walking for this period of six months does not pre-clude active movements of the knee when not bearing weight upon the. 111 i)j 11 . y^jtaiijjiijiiiiiijijfc Fig. 122.—Agxews Splint Applied.—(Dennis.) limb. At the end of that time the patient may be allowed to go aboutwith a cane and a snugly fitting roller bandage. This bandage shouldbe made of medium weight flannel, cut straight with the weave andnot on the bias. The bandage should be applied from the middle ofthe calf of the leg to the middle of the thigh when the leg is completelyextended. As the patient becomes confident of his strength,. the caneneed not be carried. Sudden movements are to be avoided. At theend of eight or ten months, varying with the individual case, all supportmay be omitted from the knee. The Restoration of the Function of the Joint.—From the dayof the injury daily massage to the whole limb is important. It main-tains the muscles in good tone. It pr
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