A practical treatise on fractures and dislocations . gaments destroyed. The bones of the leg were also exposed in their lowerthird, and the tendons were in a sloughy state. Amputation was performed,and the patient In one of my published cases, plaster-of-Paris hadbeen upon the limb one week when gangrene was threatened, and the plasterhad to be removed. Two other cases illustrate the danger also of tight bandagesin causing gangrene after a fracture of the patella. Dr. Dorsey, of Philadelphia, employed an apparatus which will serve to illus-trate in its most simple form the principl


A practical treatise on fractures and dislocations . gaments destroyed. The bones of the leg were also exposed in their lowerthird, and the tendons were in a sloughy state. Amputation was performed,and the patient In one of my published cases, plaster-of-Paris hadbeen upon the limb one week when gangrene was threatened, and the plasterhad to be removed. Two other cases illustrate the danger also of tight bandagesin causing gangrene after a fracture of the patella. Dr. Dorsey, of Philadelphia, employed an apparatus which will serve to illus-trate in its most simple form the principle of approximating the fragments bythe use of a splint and bandage. His apparatus consisted of a piece of woodhalf an inch thick and two or three inches wide, and long enough to extend 1 Araer. Journ. Med. Sei., vol. xxiv. p. 462, from Gaz. M6d., No. 28. 29 450 FRACTURES OF THE PATELLA. from the buttock to the heel; near the middle of this splint, and six inchesapart, two bands of strong doubled muslin, a yard long, are nailed. The splint Fig. John Syng Dorseys patella splint. is then cushioned, and the limb laid upon it, a roller being first applied fromthe ankle to the groin, encompassing the knee in the form of the figure of 8;after which the two muslin bands are secured across the knee in such a manneras that the lower one shall draw down the upper fragment, and the upper oneelevate the lower fragment. Mr. Lonsdale devised a very complicated apparatus. Fig. 283.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures