. Essentials of surgery; a textbook of surgery for student and graduate nurses and for those interested in the care of the sick . Fig. 15.—Showing fracture of the patella. Fig. 16.—Showing comminuted frac-ture of the tibia. usually in bed, carries serious danger of hypostatic pneumonia,especially in the aged. Fractures of the shaft of the femur areoften obHque, spiral, or splintered, with marked are difficult to reduce and require special apparatus forcounter-extension, to overcome muscle resistance and to pre-vent shortening. The Patella or Knee-cap is fractured by direct vi


. Essentials of surgery; a textbook of surgery for student and graduate nurses and for those interested in the care of the sick . Fig. 15.—Showing fracture of the patella. Fig. 16.—Showing comminuted frac-ture of the tibia. usually in bed, carries serious danger of hypostatic pneumonia,especially in the aged. Fractures of the shaft of the femur areoften obHque, spiral, or splintered, with marked are difficult to reduce and require special apparatus forcounter-extension, to overcome muscle resistance and to pre-vent shortening. The Patella or Knee-cap is fractured by direct violence 88 ESSENTIALS OF SURGERY FOR NURSES (Fig. 15), blows or falling. It is practically impossible tomaintain fixation of fragments without open operation, whichis the method of first choice. Leg.—The tibia or fibula is fractured by crushing injury(Figs. 16, 17 and 18) or by falling with the foot fixed, and isfrequently compound. Accurate alignment and apposition areessential. Poor results often occur from too early weight-


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery