The treatment of fractures . he displacement. Suture of the bones may beneeded to retain the replaced epiphysis in position. The flexedposition of the leg will assist materially in retaining the fragmentin position. The application of a light-weight plaster-of-Pariscircular bandage from the toes to the groin, with the leg flexedto a right angle, will immobilize the parts. After-union is firm between the epiphysis and shaft. Afterthree or lour weeks the leg may be gradually extended. Thefoot of the injured leg may be touched to the floor while theplaster splint is in place about five weeks afte
The treatment of fractures . he displacement. Suture of the bones may beneeded to retain the replaced epiphysis in position. The flexedposition of the leg will assist materially in retaining the fragmentin position. The application of a light-weight plaster-of-Pariscircular bandage from the toes to the groin, with the leg flexedto a right angle, will immobilize the parts. After-union is firm between the epiphysis and shaft. Afterthree or lour weeks the leg may be gradually extended. Thefoot of the injured leg may be touched to the floor while theplaster splint is in place about five weeks after the injury. Slight SEPARATION OF THE LOWER EPIPHYSIS 317 weight may be borne upon it. The plaster should be removedafter about six weeks, and gentle active and passive motion madeat the knee-joint. Massage to the calf of the leg and the thighshould be given daily. A flannel bandage applied to the foot,ankle, leg, and thigh will be all the support that is about ten weeks the boy should be allowed to step on the. Fig. 442.—Case same as that in figure 441. Separation of lower femoral epiyhysis. Notedegree of extension possible and cicatrix of incision six months after operation. Note alsoabsence of deformity. foot all he chooses. At first he will do this with fear, but soonwith confidence. There will usually be a little limitation ofmotion in the knee-joint (see Figs. 441, 442). Traumatic Gangrene, Septicemia, Malignant Edema.—Frac-tures complicated with laceration of the large vessels are a fre-quent cause of gangrene. If an acute infectious process starts 318 FRACTURES OF THE FEMUR in a limb with traumatic gangrene, the gangrene spreads withfrightful rapidity. The general disturbance is very great. Asepticemia of grave type results. To such cases in which thereis much gas formation, associated with edema, and which resultin rapid destruction of tissue, the name malignant edema is specific bacillus of malignant edema will be discovered in theblood and
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