. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, slocation of astragalus outward. (Hamilton.) Dislocations of the Metatarsal Bones and Phalangesof the Toes.—These dislocations usually result fromcrushing forces which destroy the vitality of the soft partsso completely that amputation is required. Their reduc-tion in cases of simple or uncomplicated dislocations iseffected by traction, manip
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, slocation of astragalus outward. (Hamilton.) Dislocations of the Metatarsal Bones and Phalangesof the Toes.—These dislocations usually result fromcrushing forces which destroy the vitality of the soft partsso completely that amputation is required. Their reduc-tion in cases of simple or uncomplicated dislocations iseffected by traction, manipulation, and pressure. Afterreduction of the displacement the parts should be kept inposition by the application of splints, compresses, andbandages. Old Dislocations. The reduction of old dislocations is attended with moredifficulty and danger than that of recent dislocations, due OLD DISLOCATIONS 441 to the permanent contraction and structural changes whichoccur in the muscles and to the adhesions which formbetween the displaced bone and the parts with which it isin contact. The reduction of old dislocations may usuallybe accomplished by the manipulations appropriate for re-cent dislocations of the same variety ; but occasionally the Fig. Reduction of old dislocation of hip by vertical extension. (Bigelow.) use of more forcible extension is required, which is madeby bands and pulleys or by vertical extension (Fig. 335).The first step in the reduction of old dislocations consistsin thoroughly breaking up the adhesions which havebeen formed between the displaced bone and the surround-ing tissues: this has, in some cases, resulted in the lacera- 442 DISLOCATIONS. tion of muscles, nerves, and bloodvessels, and in fractureof the displaced hones or neighboring bones, so thatthe manipulations should be made with the least forcethat will accomplish the object desired. After the reduc-tion of old dislocations difficulty is sometimes experiencedin maintaining the bone in its pr
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
