A treatise on orthopedic surgery . d in the attitudeof full abduction and extension, thusutilizing the fulcrum of the upper bor-der of the acetabulum to restore thenormal angle of the neck. In this posi-tion a plaster bandage, reaching fromthe axilla to the toes, should be applied(Fig. 390). After consolidation of the fracture aLorenz spica may be used for severalmonths or until complete repair hastaken place. Massage and passivemovements, if limitation of motion per-sists, should restore function if the de-formity has been overcome. After consolidation the untreatedfracture is practically a f
A treatise on orthopedic surgery . d in the attitudeof full abduction and extension, thusutilizing the fulcrum of the upper bor-der of the acetabulum to restore thenormal angle of the neck. In this posi-tion a plaster bandage, reaching fromthe axilla to the toes, should be applied(Fig. 390). After consolidation of the fracture aLorenz spica may be used for severalmonths or until complete repair hastaken place. Massage and passivemovements, if limitation of motion per-sists, should restore function if the de-formity has been overcome. After consolidation the untreatedfracture is practically a form of coxa In such cases the neck of the femur should be replacedin its normal position by the removal of a sufficient wedge ofbone from the base of the trochanter as described under thetreatment of simple coxa vara (Fig. 389). Epiphyseal Fracture.—As has been stated in early life the frac-ture is usually at about the centre of the neck, which in child-hood is but little more than an inch in length. In later years the. Epiphyseal fracture of theneck of the right femur, il-lustrating the type of pa-tient especially predisposedto such injury and the char-acteristic attitude of the 588 OETHOPEDIC SUBGEBY. head of the femur may be partially or completely separated at ornear the epiphyseal line. This disjunction is more likely to occurin adolescence and particularly in fat, overgrown or weak sub-jects, although it may occur in perfectly healthy sudden disability, following slight injury, in an adoles-cent who has complained of discomfort and limp for some timebefore, should suggest this accident, the previous symptomsbeing explained by slight displacement or weakening of theepiphyseal junction. In other instances the separation may becomplete, the direct result of violence (Fig. 391). Treatment.—In characteristic cases the limb is adducted,often extended, rotated outward to an extreme degree, andoften practically fixed, by muscular spasm. If the separ
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
