A treatise on orthopedic surgery . and lower thirds of the leg. A second strip is placed at theposterior extremity of the heel, and the two ends are carried DISEASES AND INJUBIES OF THE ANKLE-JOINT. 475 forward somewhat beyond the tarsometatarsal junction on eitherside. Another strip is then placed by the side of the iirst, andthe fourth by the side of the second, until the entire ankle issmoothly covered, except for a space about two inches in widthdirectly on the front of the ankle. One takes particular careto make the plaster fit well about the malleoli and reinforces itat the points of gre
A treatise on orthopedic surgery . and lower thirds of the leg. A second strip is placed at theposterior extremity of the heel, and the two ends are carried DISEASES AND INJUBIES OF THE ANKLE-JOINT. 475 forward somewhat beyond the tarsometatarsal junction on eitherside. Another strip is then placed by the side of the iirst, andthe fourth by the side of the second, until the entire ankle issmoothly covered, except for a space about two inches in widthdirectly on the front of the ankle. One takes particular careto make the plaster fit well about the malleoli and reinforces itat the points of greatest sensitiveness. A light bandage is thenapplied and the patient is encouraged to_use the foot in plaster may be applied in a variety of ways; a satisfactorymethod is as follows, after the preliminary massage for the pur-pose of reducing the swelling: One end of a strip of adhesiveplaster about three feet long and three inches wide is appliedto the lateral aspect of the leg just below the knee-joint; it is Fig. The stockinette bandage. An effective means of reducing swelling and protectingthe sensitive joint to be used in combination with massage. carried down the side of the leg over the malleolus, beneath theheel and arch, and up the other side to a point opposite the be-ginning where it is fixed by a circular band about the calf. Ifthe sprain is of the outer side of the ankle, sufficient tension ismade upon the outer half of the plaster to hold the foot slightlyabducted. If, as is more common, the sprain is of the innerside, the inner half is drawn firmly beneath the arch, carryingthe foot toward inversion so that all strain may be removedfrom the sensitive part. This band of plaster is reinforced byone or more so that the lateral aspect of the ankle is completelycovered. And in addition the entire ankle is then enclosed withnarrow, overlapping strips which cover all the tissues well be-yond the sensitive area. The foot and leg are then bandaged 476 OETH
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
