A practical treatise on fractures and dislocations . he pelvis to the ankle, one inchand a half. The distance from the anterior superior spinous process to the foldof the groin was ten inches, but upon the sound side it was only eight and ahalf. The head of the femur could be distinctly felt in front, just under thepubes. Having administered chloroform, I first reduced the tibia and thepatella, then seizing the thigh and leg, I flexed the thigh upon the body, carry-ing the limb upward abducted until it was nearly or quite at a right angle withthe body, then inclining the knee slightly inward,
A practical treatise on fractures and dislocations . he pelvis to the ankle, one inchand a half. The distance from the anterior superior spinous process to the foldof the groin was ten inches, but upon the sound side it was only eight and ahalf. The head of the femur could be distinctly felt in front, just under thepubes. Having administered chloroform, I first reduced the tibia and thepatella, then seizing the thigh and leg, I flexed the thigh upon the body, carry-ing the limb upward abducted until it was nearly or quite at a right angle withthe body, then inclining the knee slightly inward, I brought it down again, andwhen the thigh had nearly reached the bed, it fell into its socket with a dullflapping sensation. In every step of the procedure I followed the inclination ofthe limb. The recovery was rapid and complete. Sir Astley Cooper advises that the patient shall be placed upon hisback, with his thighs separated as far as possible. The pulleys are tobe made fast to a band drawn across the perineum of the dislocated limb, Fig. Sir Astley Coopers mode of reducing a recent dislocation into the foramen thyroideum. in a direction upward and outward; while a counter-band is to be passedaround the pelvis through the band attached to the pulleys, and securedto a staple, or delivered to assistants placed upon the sound side of thebody. When everything is arranged, the pulleys should be acted uponuntil the head of the femur is felt moving from the foramen thyroideum;at this moment the surgeon must pass his hand behind the sound limb,and seizing upon the ankle of the dislocated limb, adduct it forcibly, thusconverting the limb into a lever of the first order. If the dislocation has existed some time, he recommends that thisprocedure shall be varied by placing the patient upon his sound sideinstead of his back, and attaching the pulleys perpendicularly over the INTO THE FORAMEN THYROIDEUM. 719 body. He especially cautions us not to flex the thigh during thesemanoeuv
Size: 1753px × 1425px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
