A system of surgery . Fig. 406.—Unreduced Backward Dislocation of the Hip. The acetabulum is filled up and anew cavity is formed on the dorsum ilii. The head of the femur is altered in shape. any time as to when it is right to attempt reduction. It maybe pointed out that (1) manipulation is at least as likely to suc-ceed as the use of pulleys or violent extension. (2) That the age,vigour, and occupation of the patient must be considered. (3) Thatmanipulations, though they may fail in reduction, improve the caseby breaking down adhesions. (4) That violent manipulations maycause such accidents a
A system of surgery . Fig. 406.—Unreduced Backward Dislocation of the Hip. The acetabulum is filled up and anew cavity is formed on the dorsum ilii. The head of the femur is altered in shape. any time as to when it is right to attempt reduction. It maybe pointed out that (1) manipulation is at least as likely to suc-ceed as the use of pulleys or violent extension. (2) That the age,vigour, and occupation of the patient must be considered. (3) Thatmanipulations, though they may fail in reduction, improve the caseby breaking down adhesions. (4) That violent manipulations maycause such accidents as injuries to the sciatic nerve or vessels, ex-tensive extravasation of blood and diffuse abscess, or fracture of theneck of the femur, the limb becoming mobile and everted withobvious crepitus. This latter accident I have myself would seem safer in these cases to attempt reduction by freelyexposing the paints by a long incision posteriorly, and after dividingresistant structures to replace the head of
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Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
