. Atlas and epitome of traumatic . r thoroughly greas-ing the skin, he first applies abandage inclosing the foot, leg,and region of the knee; then awide thick ring of plaster-of-Parisis fitted on the thigh so as to braceagainst the tuberosity of the is-chium. Vigorous extension isthen applied to the foot and therest of the thigh covered with aplaster bandage which is firmlyattached to the first two pieces, —Thomas weight of the body issupported on the tuberosityof the ischium; the leghangs free within the dress-ing. By means of a leatherloop attached to the legabove the ankl
. Atlas and epitome of traumatic . r thoroughly greas-ing the skin, he first applies abandage inclosing the foot, leg,and region of the knee; then awide thick ring of plaster-of-Parisis fitted on the thigh so as to braceagainst the tuberosity of the is-chium. Vigorous extension isthen applied to the foot and therest of the thigh covered with aplaster bandage which is firmlyattached to the first two pieces, —Thomas weight of the body issupported on the tuberosityof the ischium; the leghangs free within the dress-ing. By means of a leatherloop attached to the legabove the ankle and fast-ened below to the lowerend of the splint, extension—elastic if desired—can beapplied to the leg; other-wise the leg is simply fixedby means of roller bandages. 282 FRACTURES AND DISLOCATIONS. which have by this time set. (See Figs. 134 and135.) I should hesitate to recommend the method illustratedin figures 134 and 135, except to one possessing morethan the usual experience in the use of Fig. 134.—Method of applying a plaster-of-Paris dressing in frac-ture of the femur. That portion of the bandage which incloses thefoot and leg and extends above the knee is completed, also theupper ring (Sitzring), which is made up of a number of plaster-of-Paris bandages and fits closely against the tuberosity of the figure shows the injured leg. The patient is lying on a pelvicsupport, while an assistant exerts vigorous extension on the lowerportion of the bandage, which is already set. The remaining middleportion of the plaster-of-Paris dressing is about to be applied. There is no doubt that a large proportion of fractures ofthe thigh can be treated by the ambulatory method fromthe beginning without endangering the result, and that the FRACTURES OF THE LOWER EXTREMITY. 283 method is greatly to the advantage of the patients generalcondition; 1 but in my opinion it is to be recommendedonly in very special cases, in which in spite of wa
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