Lectures on the American eclectic system of surgery . FORWARD AND UPWARD DISLOCATION. 629 front and a little above the level of Pouparts Ligament(Figures 52 and 58). This circumstance distinguishes thecase from fracture of the cervix, in which accident, as well ashere, the limb is shortened and the foot and knee everted. Theshortening of the dislocated limb may be from one to one and ahalf inches. The foot and knee can not be rotated inward?but the thigh can be flexed, bringing them forward. Inreducing, place the patient on his sound side, and fix thecounter-extending force somewhat in front o
Lectures on the American eclectic system of surgery . FORWARD AND UPWARD DISLOCATION. 629 front and a little above the level of Pouparts Ligament(Figures 52 and 58). This circumstance distinguishes thecase from fracture of the cervix, in which accident, as well ashere, the limb is shortened and the foot and knee everted. Theshortening of the dislocated limb may be from one to one and ahalf inches. The foot and knee can not be rotated inward?but the thigh can be flexed, bringing them forward. Inreducing, place the patient on his sound side, and fix thecounter-extending force somewhat in front of a line with thebody, the point of extension being as much behind. This Fig. arrangement of forces will draw the limb backward as well asdownward. Use the lifting bandage as the operation proceeds,the assistant pressing down on the pelvis as he raises the headof the bone over the pubes and edge of the the operation is complete, secure everything as beforedirected. [These dislocations of the hip may, any of them, be occa-sionally reduced by the rotary plan, mentioned under the gen-eral head (page 598-9). A case where the femur hadremained two weeks upon the dorsum of the ilium is therealluded to. Almost every day, during that time, other meanshad been tried. The object was effected very easily by rais-ing the heel as far as possible toward the abdomen, across theother thigh, and keeping it therefor a minute or two; andthen, while the patients attention was directed another way, asudden circular motion was given to the limb, and the heelbrought down again to its natural position, when the bonesnapped into its place and all was right.] Dislocation
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky
