The treatment of fractures . Fig. 459.—Expectant method of treating fracture of the patella. Leg extended on pos-terior wire splint. Fragments held by two straps. Fluid has left the joint. A, Side splints;B, coaptation splints Fig. 460.— Expectant method of treating fracture of the patella. Same as figure 459. with theaddition of coaptation splints to the thigh, padding, and straps. tion by this upper strap, the quadriceps muscle should beheld firmly by coaptation splints and straps encircling the pos-terior splint. The quadriceps can not then actively pull uponthe upper fragment.
The treatment of fractures . Fig. 459.—Expectant method of treating fracture of the patella. Leg extended on pos-terior wire splint. Fragments held by two straps. Fluid has left the joint. A, Side splints;B, coaptation splints Fig. 460.— Expectant method of treating fracture of the patella. Same as figure 459. with theaddition of coaptation splints to the thigh, padding, and straps. tion by this upper strap, the quadriceps muscle should beheld firmly by coaptation splints and straps encircling the pos-terior splint. The quadriceps can not then actively pull uponthe upper fragment. The tendency of these two straps thus EX PECTANT TREATMENT 129 applied will be to tilt the broken surfaces of the two fragmentsupward and apart, particularly if there is fluid in the joint. It isimportant, therefore, to place a third strap over the two brokenedges of the fragments, in order to hold them down to theirproper level and to assist in bringing them into apposition. Thecoaptation splints should be removed at every massage treat-ment, the upper fragment being steadied by an assistant. Thestraps about the patella need not be removed during the mas-sage. They will be of no inconvenience. As soon as the
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
