A practical and systematic treatise on fractures and dislocations . occur without considerable lacera-tion of ligaments, and straining ofmuscles. Treatment.—Lateral dislocations ofthe knee are reduced with greater facil-ity than any other luxation of impor-tance in the body. An assistant holds Lneral dislocation of the tibia. \\^f. tlligll fixcd, and the SUrgCOn makcS extension and pushes the head of the tibia in the directionfavoring a return of the bones to their natural reduction is accomplished, the joint must be kept per-fectly motionless for two or three weeks, and the or
A practical and systematic treatise on fractures and dislocations . occur without considerable lacera-tion of ligaments, and straining ofmuscles. Treatment.—Lateral dislocations ofthe knee are reduced with greater facil-ity than any other luxation of impor-tance in the body. An assistant holds Lneral dislocation of the tibia. \\^f. tlligll fixcd, and the SUrgCOn makcS extension and pushes the head of the tibia in the directionfavoring a return of the bones to their natural reduction is accomplished, the joint must be kept per-fectly motionless for two or three weeks, and the ordinaryremedies employed for preventing or subduing motion, which would be serviceable in preventing an-chylosis, might also interfere with the healing of the laceratedligaments; therefore it should be employed with due regardto the state of all the parts implicated. Displacements of the Semilunar Cartilages.—Chronic in-flammation of the knee-joint, caused by a strain, or other in-jury, is sometimes followed by thickening of the semilunar. Of the Tibia. 395 cartilages, and by elongation of the ligaments which connectthem with the tibia; and it may create other difficulties withthe internal working of the joint, so that the cartilages maybecome displaced by some trivial effort in the use of the the time the patient falls, or is unable to walk until thelimb is gently flexed and twisted, when the defect is overcome,and the leg resumes all its functions without evidence ofserious impairment. This injury has passed among surgicalwriters and teachers as a sub-luxation of the semilunar carti-lages, though little is positively known in regard to the path-ology of the difficulty. It is possible that the cartilages dobecome slightly displaced, so that some part of tlieir structuregets pinched between the condyles of the femur and the headof the tibia. Surgeons have declared that they have foundthe cartilages projecting outwards at some part of the articu-
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
