A practical treatise on fractures and dislocations . lengthened, by measure-ment made from the pelvis to the ankle, one inch and a half. Thedistance from the anterior superior spinous process to the fold of thegroin 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, justunder the pubes. Having administered chloroform, I first reduced the tibia and thepatella, then seizing the thigh and leg, I flexed the thigh upon thebody, carrying the limb upwards abducted until it was nearly or quiteat a right angle with the body, the
A practical treatise on fractures and dislocations . lengthened, by measure-ment made from the pelvis to the ankle, one inch and a half. Thedistance from the anterior superior spinous process to the fold of thegroin 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, justunder the pubes. Having administered chloroform, I first reduced the tibia and thepatella, then seizing the thigh and leg, I flexed the thigh upon thebody, carrying the limb upwards abducted until it was nearly or quiteat a right angle with the body, then inclining the knee slightly in- 672 DISLOCATIONS OF THE THIGH, wards, I brought it dowu again, and when the thigh had nearly reachedthe bed, it fell into its socket with a dull flapping sensation. In everystep of the procedure I followed the inclination of the limb. Therecovery was rapid and complete. Sir Astley Cooper says that this dislocation is in general reducedvery easily by the aid of pulleys; at least if the accident is recent. Fie. Sir Astley Coopers mode of reducing a recent luxation into the foramen thyroideum. He advises that the patient shall be placed upon his back, with histhighs separated as far as possible. The pulleys are to be made fastto a band drawn through the perineum of the dislocated limb, in adirection upwards and outwards; 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 ovale; atthis moment the surgeon must pass his hand behind the sound limb,and seizing upon the ankle of the dislocated limb, adduct it forcibly,thus converting 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
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
