Modern surgery, general and operative . etentionprevents displacement and guards the popliteal space. In some cases tenotomyis required to permit extension. In children the fragments should be wiredtogether; in adults this need not be done. After hemostasis, irrigate bysalt solution, insert a drainage-tube, suture, dress antiseptically, and adjustthe limb upon Prices splint or Ashhursts bracketed wire spHnt. Insteadof the bracketed spHnt, a long fracture-box may be used. If the femur tendsto project anteriorly, use an anterior splint. If there be a tendency to outwardbowing, adopt Ashhursts ex
Modern surgery, general and operative . etentionprevents displacement and guards the popliteal space. In some cases tenotomyis required to permit extension. In children the fragments should be wiredtogether; in adults this need not be done. After hemostasis, irrigate bysalt solution, insert a drainage-tube, suture, dress antiseptically, and adjustthe limb upon Prices splint or Ashhursts bracketed wire spHnt. Insteadof the bracketed spHnt, a long fracture-box may be used. If the femur tendsto project anteriorly, use an anterior splint. If there be a tendency to outwardbowing, adopt Ashhursts expedient of carrying a strip of adhesive plasteraround the outside of the limb and fastening it to the inner side of the splint is kept on until bony union is complete, as in this operation a movablejoint is never sought. Many surgeons use a fenestrated or interrupted plaster-of-Paris splint, which is employed until the parts have become apparently firmand solid (Fig. 442). Even for many months after the parts have apparently. Fig. 442.—Watsons plaster-of-Paris swing-splint. become solidly united bending may occur. How long fixation should be usedhas been much debated. In order to avoid the danger of flexion or other de-formity fixation by some form of apparatus should be maintained for atleast a year and probably nearly two years after excision (J. Torrance Rugh,Am. Jour. Orthopedic Surgery, Feb., 1909). Excision of the Ankle-joint,—Excision of the ankle was first performedby Moreau in 1792. This operation is performed chiefly for gunshot-wounds,compound dislocations, and in some cases of tuberculous joint disease. Ex-cision of the ankle is an operation which is seldom performed. Operation hy Hancocks Method.—In this operation the patient lies uponhis back, the foot rests upon its inner side, and the surgeon stands to theouter side of the damaged limb. Begin an incision just behind and 2inches above the external malleolus, and carry it across the front of the j
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
