. Modern surgery, general and operative. pound for,every year up totwenty. When the foot of the bed is raised and the weight to make extension isapplied, very gently rotate the extremity, put the foot at a right angle with the Intracapsular Fracture of the Femur 671 leg, and make a birds-nest pad of cotton or oakum to save the heel from two canvas bags, one long enough to reach from the crest of the ilium to theouter malleolus, the other long enough to reach from the perineum to the innermalleolus. Fill the bags three-quarters full of dry sand, sew up their ends,cover the bags wi
. Modern surgery, general and operative. pound for,every year up totwenty. When the foot of the bed is raised and the weight to make extension isapplied, very gently rotate the extremity, put the foot at a right angle with the Intracapsular Fracture of the Femur 671 leg, and make a birds-nest pad of cotton or oakum to save the heel from two canvas bags, one long enough to reach from the crest of the ilium to theouter malleolus, the other long enough to reach from the perineum to the innermalleolus. Fill the bags three-quarters full of dry sand, sew up their ends,cover the bags with slips, and put the bags in place in order to correct slips may be changed every third or fourth day Keep the bed-clothingfrom coming in contact with the extremity by means of a cradle (Figs. 395, 396).The bowels are to be emptied and the urine is to be voided in a bed-pan, Imlessusing a fracture-bed. For two weeks the patient remains recumbent, afterwhich time he can be propped up on pillows. Maintain extension for three. Fig. 397.—Method of using Thomas arm splint for fracture of leg bones (in C. C. S. orbase hospital only). The lower and upper strips of plaster make extension and counter-ex-tension respectively, and are prevented from slipping by encircling bandage or plaster strap-ping. Perforated zinc or calico bandage slings support the fragments and popliteal of the foot is prevented by padding on each side or by a wire foot piece, Thesplint is slung from a, a* and b (Captain R. D. Laurie). weeks, then simply maintain support by sand-bags or molded pasteboardsplints upon the part, and keep up this support three to five weeks removing the extension he can be transferred daily to a couch. In fromsix to eight weeks after the infliction of the injury he can be moved about in awheeling-chair, the leg being extended or the knee flexed in accordance with the
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