A system of surgery . toes point up and out in the position of rest; or thefoot may be fixed in this position across the foot piece, and thesplint hung straight. Maclntyres splint (Fig. 322) is a posterior gutter splint of iron,with a screw arrangement for varying the angle between thigh and leg pieces, and with a ver-tical foot piece, sliding inlateral slots for purposesof extension, and fixed atany spot by a screw nut. Fig. *s Splint. The foot piece is left loose and pushed well up; theback splint is padded. A sock having a tape attached on the soleaspect is drawn on to the foo
A system of surgery . toes point up and out in the position of rest; or thefoot may be fixed in this position across the foot piece, and thesplint hung straight. Maclntyres splint (Fig. 322) is a posterior gutter splint of iron,with a screw arrangement for varying the angle between thigh and leg pieces, and with a ver-tical foot piece, sliding inlateral slots for purposesof extension, and fixed atany spot by a screw nut. Fig. *s Splint. The foot piece is left loose and pushed well up; theback splint is padded. A sock having a tape attached on the soleaspect is drawn on to the foot, and the limb is placed on the tape is carried over the apex of the foot piece and fastenedround a button on the lower surface; the foot is thus held upwithout much pressure on the heel. The leg above the fractureand thigh is fixed to the splint; the foot is raised to the properlevel, the angle of the splint regulated to remove all angulardeformity; the toes are properly pointed across the foot piece (the. FRACTURES OF THE LEG BONES. 867 other leg must be similarly flexed to judge) and bandaged orstrapped firmly to it. Extension is now made as shown in , and whilst it is maintained the foot piece is fixed by the nut,and the bandage is carried on up to the fracture. The lower endof the splint may rest on a block, or it may be slung in Salterscradle (Fig. 324). Weight extension on a pillow between sandbags is often a usefulway of treating these fractures. The difficulties in managing an oblique fracture of both boneswith marked shortening are many and great. Lane has recentlyexpressed the opinion that a man has lost 75 per cent, of hisworking value on recovery from such an injury ; and as a result ofthis view he advises that all such cases should be cut down uponand screwed together in good position.
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