. Minor and operative surgery, including bandaging . Fracture of the femurtreated by vertical exten-sion. (Bryant.) FRACTURES OF THE PATELLA. 399 bandage is then applied from the toes to the pelvis, andis made to include the pelvis by spiea and circular should be well padded in the perineum, and the innerportion of the bandage should lit well in the region of thetuberosity of the ischium. The plaster dressing should beso applied that upon the patient standing upon the limbthe weight is supported by the plaster cast resting upon thetuberosity of the ischium and the expanded portion of
. Minor and operative surgery, including bandaging . Fracture of the femurtreated by vertical exten-sion. (Bryant.) FRACTURES OF THE PATELLA. 399 bandage is then applied from the toes to the pelvis, andis made to include the pelvis by spiea and circular should be well padded in the perineum, and the innerportion of the bandage should lit well in the region of thetuberosity of the ischium. The plaster dressing should beso applied that upon the patient standing upon the limbthe weight is supported by the plaster cast resting upon thetuberosity of the ischium and the expanded portion of theilium. A Taylor hip-splint, reinforced by plaster bandagesand the use of crutches, with a high shoe on the soundfoot, may be used in the ambulatory treatment of fracturesof the femur. Fractures of the Patella.—These fractures result fromdirect violence and muscular action. Treatment.—This consists, first, in the application of aroller-bandage from the toes to the upper part of the leg; Fig. Agnews splint for fracture of the patella. a well-padded posterior wooden splint long enough toextend from the middle of the leg to the middle of thethigh, or an Agnew splint, which is provided with peo-sfor the attachment of strips of adhesive plaster (Fig. 295),is next placed under the limb. A small compress oflint is next placed above the upper fragment, and asimilar compress i- placed below the lower fragment : astrip of adhesive plaster one and a half inches in widthand twenty-four inches in length has its middle portionapplied over the compress, and its ends are then broughtobliquely downward and fastened to the splint, or to thepegs if Agnews splint be used; this may be reinforced 400 FRACTURES. by a second or third strip. The object of these stripsis to bring the upper fragment down in contact with thelower fragment. A strip of plaster with the ends passingin the opposite direction is next placed over the lowercompress, and the ends are fastened to the splint or pegs;thi
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