Surgery; its theory and practice . irmly band-aged to it below, and the thighlightly to it above. The free end ofthe webbing band having first beenbrought out through the slit in thesplint midway between the knee andthe ankle (see Fig. 198), is nowdrawn down towards the foot-pieceoutside the splint, and sewn over apiece of stick, which is secured tothe foot-piece by an india-rubberring (a) on each side. Thus elastictension is continually exerted uponthe upper fragment, and so draws itdown towards the lower. Mayo Kol>sons Metliod.—A strongsteel pin is passed through the liga-mentum patellae
Surgery; its theory and practice . irmly band-aged to it below, and the thighlightly to it above. The free end ofthe webbing band having first beenbrought out through the slit in thesplint midway between the knee andthe ankle (see Fig. 198), is nowdrawn down towards the foot-pieceoutside the splint, and sewn over apiece of stick, which is secured tothe foot-piece by an india-rubberring (a) on each side. Thus elastictension is continually exerted uponthe upper fragment, and so draws itdown towards the lower. Mayo Kol>sons Metliod.—A strongsteel pin is passed through the liga-mentum patellae outside the knee-joint; the skin is then drawndown over the patella, and another pin passed through the ten-don of the quadriceps also outside the joint. The two pins andwith them the fragments of the patella are then drawn togetherby a figure-of-eight suture on each side, so as to bring the frac-tured surfaces into apposition. An antisei)tic dressing is applied,and the pins allowed to remain /// situ for a month (see Fig. 199).. Mayo Robsons method of holdingfragments of patella in contact. THE IIBIA AND FIBULA. 455 Aspiration of the joint. Wiring of the fragments.—With theobject of obtaining firm fibrous or bony union, some Surgeons,where there is much distension of the joint, draw off the blood orserum with the aspirator; and others lay the joint freely open andwire the fragments of the patella together. The latter proceed-ing, it cannot bfe denied, has often secured bony union withoutany ill effects, but on the other hand, suppuration, stiff-joint,amputation, and even loss of life, have resulted. In the face ofthese facts, therefore, and considering that no such dangers at-tend the ordinary methods, and that by these methods a per-fectly useful joint can be obtained, even though the union is onlyfibrous, I have hitherto hesitated to undertake such an operationfor a recent fracture of the patella. Recently Mr. Barker hastied the fragments together subcutaneously by passi
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
