A system of surgery . ably be missed untilthe blood was absorbed from the joint anduse of it had begun. Treatment of fractures ©f the femur.—In feeble old people the effectsof an accident to the lower limb, espe-cially about the hip, and the consequentconfinement to bed, must always be bornein mind. In a fracture of the narrow partof the neck, in which bony union cannot b§looked for, there will not be much hesita-tion, except on the score of pain, in get-ting the patient up early should this seemdesirable; but it may be necessary to do soin other cases—to sacrifice the ideal treat-ment of the
A system of surgery . ably be missed untilthe blood was absorbed from the joint anduse of it had begun. Treatment of fractures ©f the femur.—In feeble old people the effectsof an accident to the lower limb, espe-cially about the hip, and the consequentconfinement to bed, must always be bornein mind. In a fracture of the narrow partof the neck, in which bony union cannot b§looked for, there will not be much hesita-tion, except on the score of pain, in get-ting the patient up early should this seemdesirable; but it may be necessary to do soin other cases—to sacrifice the ideal treat-ment of the fracture to saving the life ofthe Whilst in bed a good dietshould be allowed, and frequent small dosesof some stimulant are probably useful. Anychange of position that can be permittedshould be arranged for. The greatest caremust be taken in these cases to avoidmoisture, and either mechanical or chemicalirritation of the back. Although s, rubberlayer beneath the drawsheet is undesirable, in many cases,. 291.—A mixed Separationand Fracture of the lowerEpiphysis of the Femurstarting within. The fissureruns more than half-wayacross the bone in the planeof the epiphysial disc, thenmounts rapidly and ob-liquely to the outer suppuration resulted,and the parts shown wereexcised. (Charing Cross Mu-seum, No. 391.)
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