A practical treatise on fractures and dislocations . imposeupon the patient complete quiet, with thelimb resting upon its outside and flexed,as in Potts fracture of the fibula. As soon as the inflammation has suffi-ciently subsided, passive motion mustbe given to the ankle, in order to pre-vent, as far as possible, the anchylosiswhich is an almost constant result ofthese accidents. Indeed, the patient isfortunate who recovers a tolerable useof his foot after the lapse of many months, nor can he be assuredthat the inflammation will leave these bones and their dense fibrousenvelopes for a long p
A practical treatise on fractures and dislocations . imposeupon the patient complete quiet, with thelimb resting upon its outside and flexed,as in Potts fracture of the fibula. As soon as the inflammation has suffi-ciently subsided, passive motion mustbe given to the ankle, in order to pre-vent, as far as possible, the anchylosiswhich is an almost constant result ofthese accidents. Indeed, the patient isfortunate who recovers a tolerable useof his foot after the lapse of many months, nor can he be assuredthat the inflammation will leave these bones and their dense fibrousenvelopes for a long period, and that it may not result in caries ofmore or less of the tarsal bones, demanding finally amputation of thewhole foot. We have not intended to speak in this place of those severer acci-dents, accompanied with comminution and extensive laceration, whichforbid the hope of saving the foot, and for which immediate amputa-tion is the only proper resource, but which constitute, in fact, the greatmajority of all the fractures of the tarsal Apparatus for fracture of the tuberosity of the calcaneum. FRACTURES OF THE METATARSAL BONES. 481 CHAPTER XXXIV. FRACTURES OF THE METATARSAL BONES. These bones can scarcely be broken except by direct blows,, andthe great majority of their fractures are the results of severe crushingaccidents, such as render amputation sooner or later necessary. Ofthose which do not demand amputation, by far the largest proportionare compound fractures; of which class the following example willserve as an illustration :— A man in the employ of one of the railroads which connect withthis city was run over by a loaded car on the 14th of June, 1856,crushing his right arm so as to render its immediate amputationnecessary. I found also a compound comminuted fracture of thefourth metatarsal bone of the right foot. Considerable hemorrhageoccurred from the wound, but this ceased spontaneously. Cool waterdressings were diligently applied, without splints or
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