A system of surgery . result: they wouldbe easier to deal with after the early extrava-sation has subsided. No directions can be laiddown for such operations ; success in each casedepends on a correct appreciation of the stateof matters coupled with a good deal of ingenuityand operative skill. Oases without deformity, or in which de-formity has been reduced, should be put upwith one or other of the splints used for frac-tures of the leg, or in a large mass of cottonwool firmly bandaged. In cases of markedeversion some use Dupuytrens splint (Fig. 331).This, which is a long splint in miniature,s
A system of surgery . result: they wouldbe easier to deal with after the early extrava-sation has subsided. No directions can be laiddown for such operations ; success in each casedepends on a correct appreciation of the stateof matters coupled with a good deal of ingenuityand operative skill. Oases without deformity, or in which de-formity has been reduced, should be put upwith one or other of the splints used for frac-tures of the leg, or in a large mass of cottonwool firmly bandaged. In cases of markedeversion some use Dupuytrens splint (Fig. 331).This, which is a long splint in miniature,should be padded with increasing thickness fromthe knee down to the ankle: here the padshould be thick enough to permit inversion ofthe foot without contact with the splint. The splint should befixed below theknee first; then,the deformity being undone, thefoot should bebandaged to thesplint as first bindthe foot to thesplint and use thelatter as a leverto undo the de-formity — bruteforce instead Fig. 330.—Fracture of the two Malleoli with Displacement back-wards of the Foot, causing a prominence above the ankle infront, projection of the heel, and extension of the foot.(From a cast in the University College Museum, No. 324.) FRACTURES OF TEE BONES OF THE FOOT. 871 Fractures Of the bones Of the foot.—Fractures of bones ofthe foot constitute 2-66 per cent, of all fractures. Almost all arisefrom direct violence (run over, falling objects, caught between spokes),or great indirect violence (falls and jumps from a height); rarely oneof these bones is broken by force which appears quite crushing force any or all the bones may be pulverised; but theos calcis and the astragalus suffer much more frequently than theother tarsal bones, and often alone; of the metatarsal bone the fifthand first seem to be broken more frequently than the central three;commonly two or more are broken. ©s calcis.—This bone is more often broken than any other tarsalbo
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