Lectures on orthopedic surgery . ke metal long enough to nearly encircle thefoot at that point. The whole may be japanned andapplied over a thin layer of cotton, or it may be coveredwith leather without padding, and applied next to theskin. The splint is bent to grasp the foot as accuratelyas possible, and held in place by a strip of adhesiveplaster and a roller-bandage. Young children who canbe kept off their feet, and adults who can be trustedwith axillary crutches, require no further appliance,but in others the knee-splint extending from 2 to 4inches below the foot with a patten bottom shou
Lectures on orthopedic surgery . ke metal long enough to nearly encircle thefoot at that point. The whole may be japanned andapplied over a thin layer of cotton, or it may be coveredwith leather without padding, and applied next to theskin. The splint is bent to grasp the foot as accuratelyas possible, and held in place by a strip of adhesiveplaster and a roller-bandage. Young children who canbe kept off their feet, and adults who can be trustedwith axillary crutches, require no further appliance,but in others the knee-splint extending from 2 to 4inches below the foot with a patten bottom should beused. The splint is made from the bed-form of theknee-splint by cutting off the bottom of the long loop,and welding on at right angles an ovoid ring of flat barironf inch in diameter. The greater diameter of thisring should be from side to side, for if the greaterdiameter be from front to back the strain in walking isthereby, increased, and it may break from the side knee splint is supported by a webbing strap from. Fig. 176.—The long protecting splint, used at times in ankle-disease. 217 the top ring passed over the shoulder of the oppositeside. The limb is loosely held in this splint by a roller-bandage at the knee. The operative treatment of disease at the ankle andtarsus is justifiable when the disease progresses despiteeffective mechanical treatment and protection. A trueexcision of the joint should not be attempted. Thetuberculous tissue alone should be removed by a cut-ting rather than a scraping instrument. If one is rea-sonably certain of having removed all the disease thewound should be dried and closed without medicationor drainage. In case of a return of the necrotic process,or in cases where there is a reasonable doubt as to theremoval of all diseased tissues, the wound should beleft open and packed with gauze saturated with balsamof Peru. This we believe to be a better plan than theusual dressing of iodoform and rubber drainage-tube. The diagnosis
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
