Atlas and epitome of traumatic fractures and dislocations . mur has become much sim-plified since the adoption ofpermanent extension by meansof weights. This method neu-tralizes the effect of the muscleand enables us to avoid secon-dary displacement; but it is amistake to suppose that thetreatment is anything but alaborious one. In the firstplace, the dressing must be ac-curately applied so that therewill be no pressure at anyspot; it must be wide enoughand strong enough to permitthe application of 20 to 25pounds. Adhesive strips madeof strong sailcloth or Heusnersstrips (see page 71) are used
Atlas and epitome of traumatic fractures and dislocations . mur has become much sim-plified since the adoption ofpermanent extension by meansof weights. This method neu-tralizes the effect of the muscleand enables us to avoid secon-dary displacement; but it is amistake to suppose that thetreatment is anything but alaborious one. In the firstplace, the dressing must be ac-curately applied so that therewill be no pressure at anyspot; it must be wide enoughand strong enough to permitthe application of 20 to 25pounds. Adhesive strips madeof strong sailcloth or Heusnersstrips (see page 71) are prevent friction of the legagainst the mattress a slidingfoot-rest (Volkmanns sled) isused which at the same timeallows the foot to be placed ina certain position, if necessaryin rotation. Counterextensionis best effected by raising thefoot of the bed on blocks ofwood or bricks, and layinganother block under the soundfoot so as to give it somethingto brace against (Fig. 127). As an aid to the treat-ment by extension, even when used in fractures of the. Fig. 125.—Pseudarthrosis ofthe femur after fracture some-what below the middle. Inthis position the prominenceof the upper fragment is seenabove the knee-joint. Extra-ordinary longitudinal displace-ment. Operation : Resectionof the ends of the bones andlengthening of the union. FRACTURES OF THE LOWER EXTREMITY. 275 upper extremity, I would recommend a procedure which Ihave employed for many years, and which consists in
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
