A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Traction apparatus improperly applied be-cause the adhesive plaster does not extend highenough and the malleoli are not protected bythe bandage. FRACTURES OF THE SHAFT OF THE FEMUR. 463 a bedsore. A mass of oakum, wool or cotton, hollowed out like abirds nest, to receive the heel or a pad placed beneath the tendon ofAchilles so as to lift the heel from the mattress are the simplest de-vices for relieving this injurious pressure.
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Traction apparatus improperly applied be-cause the adhesive plaster does not extend highenough and the malleoli are not protected bythe bandage. FRACTURES OF THE SHAFT OF THE FEMUR. 463 a bedsore. A mass of oakum, wool or cotton, hollowed out like abirds nest, to receive the heel or a pad placed beneath the tendon ofAchilles so as to lift the heel from the mattress are the simplest de-vices for relieving this injurious pressure. The bed clothes must notrest on the tees, since their weight will press the foot outward and evertthe leg. Any sort of an arched frame, such as can be made frompieces of barrel hoop, placed over the foot will hold the coverings up. Fig. Displacement on account of action of psoas and iliacus muscles and external rotators. (Dennis.) It is also necessary to see that the patient lies flat on his back, forif he turns a little on his side or if the pelvis sinks into the mattresson one side, while the foot and leg are held motionless by the dressing,rotary deformity will remain when the fracture is united. The footshould be kept very slightly everted, as has been stated under thetreatment of Fractures Near the Hip. The patient should not beallowed to sit up in bed nor have a high pillow or bolster, until atleast three weeks have elapsed. Then he may be propped up in the Fig. 235.
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