. Minor and operative surgery, including bandaging . not made upon theskin by the compresses, which might result in ulceration ;this may be avoided by sponging the skin with alcoholand changing the positions of the compresses slightly at 408 FRACTURES. each dressing. At the expiration of ten days the fract-ure-box and compresses may be removed and the limbput up in a plaster-of-Paris dressing, including the footand leg, up to the knee. The patient may then be allowedto go about on crutches, and at the end of five weeks alldressings may be dispensed with. This fracture may also be treated by th
. Minor and operative surgery, including bandaging . not made upon theskin by the compresses, which might result in ulceration ;this may be avoided by sponging the skin with alcoholand changing the positions of the compresses slightly at 408 FRACTURES. each dressing. At the expiration of ten days the fract-ure-box and compresses may be removed and the limbput up in a plaster-of-Paris dressing, including the footand leg, up to the knee. The patient may then be allowedto go about on crutches, and at the end of five weeks alldressings may be dispensed with. This fracture may also be treated by the forcible cor-rection of the deformity under ether and the immediateapplication of a plaster-of-Paris dressing. Dupui/trens splint, which consists of a straight woodensplint long enough to extend from the condyles of thefemur to the end of the toes, may also be employed ;this splint is provided with padding, the thickest part ofwhich, several inches in thickness, should rest upon theskin just above the inner malleolus when the splint is Fig. Dupuytrens splint applied. applied to the inner side of the leg. The splint is securedin position by the turns of a roller applied over the footand at the upper part of the leg (Fig. 302). After usingthis dressing for a few clays, if the displacement is satis-factorily corrected, the splint may be removed and the legplaced in a fracture-box or in a plaster-of-Paris dressing;. Fractures of the Tarsal Bones.—The ealeaneum andastragalus are the tarsal bones most frequently fractured. Treatment.—The dressing of fractures of the ealea-neum, after reducing the displacement, which is notusually marked unless the posterior portion of the boneis involved, by manipulation, consists in placing theleg and foot in a fracture-box, care being taken thatthe foot is kept at a right angle to the leg. When FRACTURES OF THE PHALANGES OF THE TOES. 409 the fracture involves the posterior portion of the bone,and there is displacement by the action of t
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