. A practical treatise on fractures and dislocations. or without rotation (Fig. 279). In a few cases it has been rotated about the verticalaxis so that one condyle presented in thepopliteal space, in others about a transverseaxis so that the surface of separation wasdirected backward. The knee-joint is not often involved, butsometimes the capsule is torn and the jointfilled w^ith blood and exudate. In a large proportion of cases the injuryhas been compound, the loAver end of theshaft projecting through the skin on theside or in the popliteal space. The pop-liteal vessels have been torn or, mor


. A practical treatise on fractures and dislocations. or without rotation (Fig. 279). In a few cases it has been rotated about the verticalaxis so that one condyle presented in thepopliteal space, in others about a transverseaxis so that the surface of separation wasdirected backward. The knee-joint is not often involved, butsometimes the capsule is torn and the jointfilled w^ith blood and exudate. In a large proportion of cases the injuryhas been compound, the loAver end of theshaft projecting through the skin on theside or in the popliteal space. The pop-liteal vessels have been torn or, more fre-quently, so pressed upon that circulationwas interrupted or seriously one case a popliteal aneurism appearedseveral years later and was attributed tothe accident. In some, even of the cases which werenot compound, suppuration has ensued ; inothers the pressure of the end of the frag-ment has caused the skin to slougli, and inothers gangrene of the leg a few cases of recovery without displacement arrest or diminution. Separation of the lower epiphysisof the femur. Incomplete displace-ment forward. (St. BartholomewsHospital, Poland.) i FRACTURES OF THE FEMUR. 403 of growth has been observed. Puzey ^ noted in a lad sixteen years oldat the time of the accident shortening of one inch three years other cases examined with reference to this point growth has notbeen interfered with. Symptoms. Examination under anaesthesia should make it possible, Fig 281.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912