A practical treatise on fractures and dislocations . Posterior view of the lower portion of Crandalls apparatus. or no use in the other. We shall then always come to the same conclu-sion : whatever means we may employ to make permanent extension infractures of the leg, we must either fail to accomplish all that we desire,or incur the hazards incident to complete and firm ligation of the limb ;and if the preference is given to any form of apparatus to accomplishthese ends, it must be to some form of the double-inclined plane, by whichwe may at least avoid ligation in the upper part of the limb,
A practical treatise on fractures and dislocations . Posterior view of the lower portion of Crandalls apparatus. or no use in the other. We shall then always come to the same conclu-sion : whatever means we may employ to make permanent extension infractures of the leg, we must either fail to accomplish all that we desire,or incur the hazards incident to complete and firm ligation of the limb ;and if the preference is given to any form of apparatus to accomplishthese ends, it must be to some form of the double-inclined plane, by whichwe may at least avoid ligation in the upper part of the limb, the counter-extension being made against the under surface of the thigh, while it isresting upon the thigh-piece ; or to one of the long straight thigh-splints,which will enable us to make the counter-extension from the thigh andperineum. If a double inclined plane is used, I prefer either a plain apparatus,such as we have already described as in use for fractures of the thigh, Fig. Listons double inclined plane, applied to the leg in case of compound fracture.(From Miller.) constructed of boards, joined together by hinges opposite the knee, andwith an upright foot-board, upon which a carefully-arranged and thickcushion has been placed; or the more elegant double inclined plane ofListon. In using Listons apparatus, it must not be inferred that the knee isalways to be bent. The apparatus is designed to be used occasionally 486 FRACTURES OF THE TIBIA AND FIBULA, as a straight splint; and there will be found many cases of fractures ofthe legs in which the straight position will be most suitable: this is espe-cially true of such fractures as, occurring just below the knee-joint, have Fig. 322.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
