Wounds in war : the mechanism of their production and their treatment . nst the main pad of the splint, otherwise pain willarise, and, if this condition be allowed to continue,sloughing of the heel is certain to occur. The assuranceof the patient that his heel feels quite comfortable isnot sufficient; the surgeon must himself ascertain thaithe immediate point of the heel is not in contact withthe padding of the splint, and that the weight of the legis distributed on the calf muscles and the Achilles tendonWe must remember that apparatus for immobilisation mayhave to be worn for many weeks or m
Wounds in war : the mechanism of their production and their treatment . nst the main pad of the splint, otherwise pain willarise, and, if this condition be allowed to continue,sloughing of the heel is certain to occur. The assuranceof the patient that his heel feels quite comfortable isnot sufficient; the surgeon must himself ascertain thaithe immediate point of the heel is not in contact withthe padding of the splint, and that the weight of the legis distributed on the calf muscles and the Achilles tendonWe must remember that apparatus for immobilisation mayhave to be worn for many weeks or months, and that anill-nourished part like the heel will .not bear pressure with-out giving way. Whether the apparatus be composed oiwood, or of zinc or wire netting, it is of advantage that 1should have vertical side pieces for the thigh and , or otherwise movably attached to the back splint. APPARATUS FOR KNEE CASES 205 but interrupted for about eight inches at the sides of theknee to enable the wound to be redressed without undoingthe bandages Fig. 49.—Rosers Wire Splint for Gunshots of the Knee.
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