. On modern methods of treating fractures . Fig. 121.—Bolting of the external femoral condyle. into position by means of the screw clamp drill-guide, untilthey lie snugly against the lateral aspects of the lower end ofthe bone. The upper bolts are applied in the holes made throughthe screws of the drill-guide. An exactly similar operation issuited for the upper end of the tibia. Fractures of the Patella.—It was in the case of completetransverse fractures of this bone operative measures werefirst suggested, and it is here everyone agrees that operationis the method of choice. And yet there are
. On modern methods of treating fractures . Fig. 121.—Bolting of the external femoral condyle. into position by means of the screw clamp drill-guide, untilthey lie snugly against the lateral aspects of the lower end ofthe bone. The upper bolts are applied in the holes made throughthe screws of the drill-guide. An exactly similar operation issuited for the upper end of the tibia. Fractures of the Patella.—It was in the case of completetransverse fractures of this bone operative measures werefirst suggested, and it is here everyone agrees that operationis the method of choice. And yet there are many points wliich OPERATIVE TREATMENT OF SPECIAL FRACTURES 241 require emphasis in order that the operation may be of speedyand lasting benefit. If a transverse fracture of the patella is not operated upon,the fragments become pulled apart, the torn aponeurosis fallsdown over the broken surfaces, and little or no callus course of time the fibrous union stretches, the knee remainsweak, and the rigidity of the leg is much imp
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