. Röntgen ray diagnosis and therapy . Pig. 250.—Fracture of Upper End of Ulna Associated with SidewardDislocation of Radius. (Compare Figs. 251 and 252.) 333 TREATMENT OF DEFORMED FRACTURE 333 impossible. Bui an efforl should al leasl have been made. Ifunsuccessful, ii should have been reduced by open incision or removed. When it was done five after the injury Ligamentous rem-nants had to be exsected in order to permil of downward pressureof the prominent diaphysis. At first it was tried to reduce the dis-placement in a bloodless manner. But while it was possible to lacer-ate the adhesi
. Röntgen ray diagnosis and therapy . Pig. 250.—Fracture of Upper End of Ulna Associated with SidewardDislocation of Radius. (Compare Figs. 251 and 252.) 333 TREATMENT OF DEFORMED FRACTURE 333 impossible. Bui an efforl should al leasl have been made. Ifunsuccessful, ii should have been reduced by open incision or removed. When it was done five after the injury Ligamentous rem-nants had to be exsected in order to permil of downward pressureof the prominent diaphysis. At first it was tried to reduce the dis-placement in a bloodless manner. But while it was possible to lacer-ate the adhesions, so that the arm could be broughi into the rec-tangular position (Fig. 251), the fragments could not be approx-imated. The elbow was exposed then five days after the osteotomy. Pig. 251.—Elbow After an Effort to Reduce the Fragments.(Compare Figs. 250 and 252.) of the wrist. After the fibrous adhesions were dissected the dis-placed ulnar diaphysis could be approximated to the fragment,which consisted mainly of the olecranon. The radius followed itsfellow then without much difficulty. The ulnar fragments werekept together by a silver-wire suture (Fig. 252). The result wasnearly perfect. The author is convinced that if the Rontgenmethod had been used early in this case the skiagraph wouldhave appealed strongly to the medical conscience. Fig. 253 illustrates the modus operandi in the osteoplasticoperation of Pirogoff. The patient, a girl of six years, whose 334 THE RONTGEN RAYS skiagraph was taken three weeks after the operation, sustained acompound fracture of the foot, a heavy iron bar having fallen onit. Expectant treatment was resorted to for two weeks until thefoot became black. There was a small area of vital tissue at theheel which in connection with a
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