The treatment of fractures . Fig. 473.—Old fracture of separation of fragments. Dimp-ling of skin. A useful but not a strongleg (Massachusetts General Hospital,847. X-ray tracing). with the same freedom as before the accident is impossible ; theknee often gives way in walking and causes a fall ; the patientcan not jump as before the accident, and walks with a slight is present in or about the knee in damp weather and afterunusual exertion. Operative Interference in Recent Closed Fractures of thePatella.—In deciding whether a given case should be treatedby operation or no


The treatment of fractures . Fig. 473.—Old fracture of separation of fragments. Dimp-ling of skin. A useful but not a strongleg (Massachusetts General Hospital,847. X-ray tracing). with the same freedom as before the accident is impossible ; theknee often gives way in walking and causes a fall ; the patientcan not jump as before the accident, and walks with a slight is present in or about the knee in damp weather and afterunusual exertion. Operative Interference in Recent Closed Fractures of thePatella.—In deciding whether a given case should be treatedby operation or not the following considerations should be care- 333 FRACTURES OF THE PATELLA fully weighed : A closed fracture of the patella does not in itselfendanger life. It may be treated by the conservative methodwithout added risk. If properly treated, the result will ordinarily Quadriceps tendon. Upper fragment of Interposing tissues. Lower fragment of patella. Patellar tend. Joint surface. — Cartilage. Fig. 474.—Median section of patella and tendons (diagrammatic), showing interposition otfascia and periosteal shreds between the fragments.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901