The treatment of fractures . acture of patellawith comminution. Probably from directviolence (Warren Museum, specimen 1130). Fig. 456.—Ham-splint without strap,showing proper length ami relation tothigh and leg posteriorly. Massage skilfully applied to the whole limb, irrespective of themethod of treatment eventually instituted, will not only assist inthe absorption of the fluid, but will preserve intact the musclesof the limb. Massage to be effective should be applied at leasttwice daily, and from fifteen minutes to half an hour at a pain will be felt, but after a time massage wil
The treatment of fractures . acture of patellawith comminution. Probably from directviolence (Warren Museum, specimen 1130). Fig. 456.—Ham-splint without strap,showing proper length ami relation tothigh and leg posteriorly. Massage skilfully applied to the whole limb, irrespective of themethod of treatment eventually instituted, will not only assist inthe absorption of the fluid, but will preserve intact the musclesof the limb. Massage to be effective should be applied at leasttwice daily, and from fifteen minutes to half an hour at a pain will be felt, but after a time massage will be painlessand give great comfort. EX IECTANT TKEATMENT 327 The Reduction of the Fragments.—No attempt should bemade to reduce the fragments until nearly all the fluid is removedfrom the knee-joint. Reduction is accomplished by immobiliza-tion of the knee-joint, by fixation of the lower fragment, and bytraction upon and fixation of the upper fragment. The legshould be extended completely and the knee immobilized either. Fig. 457.—Improper method of applyng a ham-splint. The knee-joint is not is possible. Straps 1 and 2 are insufficient.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
