. On modern methods of treating fractures . Fkj. .{S.—A complicated suiaramalleolarfracture before treatment. Fiif. 39.—The leg shown in and 40, with the double trans-fixion apparatus (earlyj/pattern)applied. one and a half inches abo\^e the epieondyles, in front of theinternal epicondylar ridge and behind the outer. In this wayboth the ulnar and musculospiral ner\es will be avoided, ai The metal hoop which surrounds the loAver end of the arm MECHANICAL MODIFICATIONS OF ENTENSION METHOD ^81 is shaped so as to be above the forearm when the latter isflexed. Application to the Femur.— The
. On modern methods of treating fractures . Fkj. .{S.—A complicated suiaramalleolarfracture before treatment. Fiif. 39.—The leg shown in and 40, with the double trans-fixion apparatus (earlyj/pattern)applied. one and a half inches abo\^e the epieondyles, in front of theinternal epicondylar ridge and behind the outer. In this wayboth the ulnar and musculospiral ner\es will be avoided, ai The metal hoop which surrounds the loAver end of the arm MECHANICAL MODIFICATIONS OF ENTENSION METHOD ^81 is shaped so as to be above the forearm when the latter isflexed. Application to the Femur.— The upper transfixing-pin isapphed in an anteroposterior direction, but rather from witliinoutwards, so that the posterior end emerges on the outer asjjectof the thigh behind tlie great trochanter. The anterior point. Fig. -to.—The fracture shown in Fig. 38 under treatment 1)3-the earlier form of double transfixion apparatus. for transhxion Ues Acrticalh below the anterior superior iliacspine and on the same le^el as the lower border of the symphysispubis. The lower pin is driven transversely across through thecondyles of the femur. Application to tiie Tibia and Fibula {Figs. 38, 39, 40, 41, 42).—The upper pin is passed transversely just below the tuberositiesof the tibia, rather abo^-e the level of the tubercle. This will 6 82 MODERN METHODS OF TREATING FRACTURES
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