. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, and by this means,in many cases, the luxations may be reduced. If, however,the efforts at reduction are unsuccessful, permanent exten-sion should be applied by means of a weight extension 414 DISLOCATIONS. apparatus from both legs and from the shoulders andhead. The after-treatment consists in keeping the patientat rest upon his back in bed u
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, and by this means,in many cases, the luxations may be reduced. If, however,the efforts at reduction are unsuccessful, permanent exten-sion should be applied by means of a weight extension 414 DISLOCATIONS. apparatus from both legs and from the shoulders andhead. The after-treatment consists in keeping the patientat rest upon his back in bed upon a firm mattress, and ifthe cervical vertebrae have been involved, the head andneck should be supported by short sand bags; and in caseof the vertebrae below this point, the application of aplaster-of-Paris jacket may be used to give support andfixation to the part. The general management of thecase as regards complications is similar to that in cases offracture of the vertebrae. Dislocations of the Coccyx.—These are reduced bymanipulations with the finger in the rectum and externalmanipulation at the same time. The only after-treatmentrequired is rest in bed for a few days and the administra-tion of opium to keep the bowels quiet. Fig. Bilateral dislocation of the lower jaw. (Ashhurst.) Dislocations of the Lower Jaw.—These dislocationsmay consist in the displacement of one or both condyles DISLOCATIONS OF RIBS AND COSTAL CARTILAGES. 415 of the lower jaw from the glenoid fossae, constituting theunilateral or bilateral dislocation of the jaw ; the latter isthe more common form of dislocation of the jaw met with,and the deformity resulting is shown in Fig. 305. The reduction of a dislocation of the lower jaw is accom-plished as follows : The surgeon placing his thumbs, wellprotected by strips of bandage or a towel, on the molarteeth or behind them, presses the angles of the jaw down-ward while he elevates the chin with his fingers, and bythis manipulation the condyle
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
