. Journal - American Medical Association. Fig. S.—Insf 3- Closed fracture of the tibia and fibula. Skia-graph taken in a lateral position seven weeks after the characteristic displacement was present, as In Case 2. Noresection of the fragments was necessary. The suture holes andthe approximation show well. Fig. 6.—Case 3. Closed fracture of the tibia and fibula. Skia-graph taken In an antero-posterlor position seven weeks after theoperation. The picture shows the retention of the fragments Inthe normal ails of the bone, also the suture ( Fig. 4. Ununli. - i-iiuir.


. Journal - American Medical Association. Fig. S.—Insf 3- Closed fracture of the tibia and fibula. Skia-graph taken in a lateral position seven weeks after the characteristic displacement was present, as In Case 2. Noresection of the fragments was necessary. The suture holes andthe approximation show well. Fig. 6.—Case 3. Closed fracture of the tibia and fibula. Skia-graph taken In an antero-posterlor position seven weeks after theoperation. The picture shows the retention of the fragments Inthe normal ails of the bone, also the suture ( Fig. 4. Ununli. - i-iiuir. Skiagrapli tukin (Ivc months after the , i ii siiiured with silverwire. The broken silver wire tailed to nliilii the fractured endsIn approximation. It shows well the disadvantage of silver wireas a suture material, as it Is liable to break at any time when anyangularity at the seat of fracture la produced. Fig. S.—Case 6. Closed fracture of the tibia. X ray nhoto-graph taken In an antero-posterlor position, before the spiral nature of the fracture is well marked. The displace-ment of the fragments is constant, tlie tipper passing downward,forward, and Inward; the lower, upward, backward and knowledge of the character of the displacement is of greatvalue to the surgeon, in that it simplilies considerably the detailsand severity of the .operation, and secures a perfect result. Jan. 20, 1906. TREATMENT OF FRACTURES—KELLY 185


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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883