. Manual of operative surgery. a-bulum in young individuals, even in the oldercases this method is quite successful. A distinctadvantage in this proceedure is that your trac-tion is continuously maintained while thefixation dressing is being applied and the dangerof the head reluxating is lessened. In operating the greatest care is to be takennot to injure the cartilaginous covering of thehead of the femur. Removal of the cartilageand exposure of the bare bone of both the headof the femur and acetabulum is liable to leadto anchylosis or restriction of motion. The limbis to be put up in plaster
. Manual of operative surgery. a-bulum in young individuals, even in the oldercases this method is quite successful. A distinctadvantage in this proceedure is that your trac-tion is continuously maintained while thefixation dressing is being applied and the dangerof the head reluxating is lessened. In operating the greatest care is to be takennot to injure the cartilaginous covering of thehead of the femur. Removal of the cartilageand exposure of the bare bone of both the headof the femur and acetabulum is liable to leadto anchylosis or restriction of motion. The limbis to be put up in plaster of Paris in a sufficientlyabducted and extended position to preventreluxation. The plaster may be removed everythree or four weeks and passive motion made,ten or twelve weeks. Should it be found to be absolutely impossibleto replace the head in the acetabulum, then a new one should be dugout of the side of the ilium and the head placed therein. When thisprocedure is carried out the turning down of a bone flap from the (Albee). 1275. It may be discarded in I024 KNEE-JOINT aids materially in forming a good roof for the acetabulum and increases itsdepth. Care should be taken to maintain powerful traction on the limb in thefixation dressing so that the flap may not be subjected to pressure and giveway. This will give a stable support, but of course increases the is not likely to occur if the cartilage on the head of the femur is keptintact. While the cutting operation is regarded unfavorably by many, the writer hasfound it to be very satisfactory. It must be admitted, however, that the opera-tion is a difficult one and demands a skilled technic both from the standpointof asepsis and reduction. It is the only thing that gives a fair promise of astable and satisfactory result. CHAPTER LXXXII KNEE-JOINT PUNCTURE. LAVAGE. INJECTIONS Puncture of the knee is most commonly practised to withdraw serous effu-sions, recent blood extravasations, etc., and as a prelimina
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