. Modern surgery, general and operative. tic con-gestion of the lungs sets in, if bed-sores appear, if the appetite and digestion^ See the masterly paper by Stokes, before quoted. 670 Diseases and Injuries of the Bones and Joints utterly fail, or if diarrhea persists, abandon attempts at cure in any case, andget the patient up and lake him into the sunshine and fresh air, simply immo-bilizing the fracture as thoroughly as possible by means of pasteboard splintsor plaster of Paris. In the vast majority of cases, no matter how old thepatient may be, undertake treatment. We may be forced to aband
. Modern surgery, general and operative. tic con-gestion of the lungs sets in, if bed-sores appear, if the appetite and digestion^ See the masterly paper by Stokes, before quoted. 670 Diseases and Injuries of the Bones and Joints utterly fail, or if diarrhea persists, abandon attempts at cure in any case, andget the patient up and lake him into the sunshine and fresh air, simply immo-bilizing the fracture as thoroughly as possible by means of pasteboard splintsor plaster of Paris. In the vast majority of cases, no matter how old thepatient may be, undertake treatment. We may be forced to abandon it, butshould at least attempt to obtain a cure. If it is determined to treat the case,place the patient on a hair mattress, several boards being laid transverselyunder the mattress in order to prevent unevenness and the formation of fracture-bed is a valuable adjunct to treatment. Treatment by the Extension Apparatus of Gurdon Buck.—Extend the kneeand place the leg in a natural posture, and put a pillow beneath the Fig. 394.—Adhesive plaster applied to make extension. Combine extension with lateral support by means of sand-bags. The extensionshould be gentle, never forcible. It is not wise to pull apart an impaction inan old person, but it should always be done in a young or middle-aged the subject on a firm mattress or a fracture-bed. Shave the leg. Cut afoot-piece out of a cigar-box, perforate it to admit the passage of a cord, wrapit with adhesive plaster as shown in Plate 7, Figs. 15 and 16, run the weight-cord through the opening in the wood, and fasten a piece of adhesive plaster oneach side of the leg, from just below the seat of fracture to above the malleolus(PI. 7, Fig. 14). The plaster is guarded from sticking to the malleoli by having
Size: 2844px × 879px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
