The treatment of fractures . every open Potts fracture, no matterhow small the wound of the soft parts, in order to insure anaseptic wound it should be enlarged sufficiently for thoroughcleansing with antiseptic solutions in every part. Extreme con-servatism should characterize the treatment of recent open Pottsfracture. In the large majority of cases treated upon the con-servative or expectant plan a useful ankle-joint and foot willresult. The older the adult patient is, the more radical must bethe treatment. CHAPTER XVFRACTURES OF THE BONES OF THE FOOT Fracture of the astragalus is caused by
The treatment of fractures . every open Potts fracture, no matterhow small the wound of the soft parts, in order to insure anaseptic wound it should be enlarged sufficiently for thoroughcleansing with antiseptic solutions in every part. Extreme con-servatism should characterize the treatment of recent open Pottsfracture. In the large majority of cases treated upon the con-servative or expectant plan a useful ankle-joint and foot willresult. The older the adult patient is, the more radical must bethe treatment. CHAPTER XVFRACTURES OF THE BONES OF THE FOOT Fracture of the astragalus is caused by a blow on the soleof the foot, as in a fall from a height (see Fig. 557). Fracture ofthe os calcis is often present in the same foot with fracture of theastragalus. The ankle-joint may or may not be involved. Thediagnosis is difficult without the use of the Rontgen ray. Crep-itus may be elicited. Great swelling may appear in the region Tibia. Line of fracture N / Head and neck ^y of astragalus. / \ Cuneiform. Scaphoid. \ /. External —1 malleolus. Body of astrag-alus. Os calcis. Cuboid. Fig. 557.—Fracture of the neck of the astragalus (X-ray tracing). of the fracture. It is highly probable that many cases of sprainedankle have been cases of fracture of the astragalus. If there isno displacement, treatment will consist in immobilizing the ankle-joint with the foot held at a right angle with the leg. As soonas the swelling has begun to subside, massage may be used toadvantage and convalescence be thus hastened. The most satis-factory dressing is a plaster-of-Paris splint extending from thetoes to below the knee, applied and immediately split open, so as 396 FRACTURE OF THE OS CALCIS 397 to form a removable splint. This may be taken off for massageand passive motion. Recovery takes place with fair movementat the ankle-joint, so that after from two months and a half tothree months the patient can walk without support. After this External malleolus. Posterior fragment / of os ca
Size: 1895px × 1318px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
