A system of surgery : pathological, diagnostic, therapeutic, and operative . Old fracture of the patella,showing the separation ofthe fragments. 948 DISEASES AND INJURIES OF BONES. CHAP. VTII. to conceive of anything better calculated to fulfil the end in view. The tin-casemaintains the limb in the extended position, the adhesive strips and compressretain the upper fragment in contact with the lower, and the two rollers, appliedin opposite directions, aid powerfully in controlling muscular contraction. When a suitable case cannot be procured, the object may be attained by theuse of a wooden sp
A system of surgery : pathological, diagnostic, therapeutic, and operative . Old fracture of the patella,showing the separation ofthe fragments. 948 DISEASES AND INJURIES OF BONES. CHAP. VTII. to conceive of anything better calculated to fulfil the end in view. The tin-casemaintains the limb in the extended position, the adhesive strips and compressretain the upper fragment in contact with the lower, and the two rollers, appliedin opposite directions, aid powerfully in controlling muscular contraction. When a suitable case cannot be procured, the object may be attained by theuse of a wooden splint, well padded, and stretched along the posterior part ofthe thigh and leg. The adjoining drawing, fig. 441, represents the mode ofdressing transverse fractures of the patella, pursued by Professor Hamilton, andalso, with slight modifications, at the Pennsylvania Hospital. The plan is an Fig. Apparatus for fracture of the patella. excellent one, and seldom fails to effect a good cure ; often with hardlj any inter-space between the ends of the fragments. The letters require brief explanation :a is the bed ; b, floor of the splint; c, foot-piece, provided with holes and side-pins ; d, inclined plane, constructed so that it may be raised or lowered at plea-sure ; e, cushion, thicker under the knee than at either end ; f, roller, not com-pletely applied, to secure the limb to the inclined plane ; g, adhesive strips, laidover a compress, and crossed under the splint, those from above passing througha notch in the board behind the knee ; /?, h, ends of the compress. As anchylosis is one of the occurrences most to be dreaded after this fracture,passive motion should be employed as soon as the union is sufficiently advancedto admit of it. This will usually be by the end of the third week. It shouldafterwards be repeated, at first every other day, and then every day, until allrisk
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
