The treatment of fractures . Fig. 501.—Fracture of both bones ofthe leg from bullet-wound. Characteristiccomminution of the bones. Bullet not re-moved. Recovery with a useful leg (X-raytracing) (Warren).. \ Fig. 502.—Transverse fracture of thetibia, high. Direct violence. Great swell-ing of leg. Threatening gangrene. Freeincisions. Leg saved. Result good. Samecase as figure 503 (Massachusetts GeneralHospital, 1064. X-ray tracing) (Scudder). Incisions in the long axis of the limb through skin and fasciawill be followed by a rapid decrease in the swelling of theleg and a cessation of the pain. A


The treatment of fractures . Fig. 501.—Fracture of both bones ofthe leg from bullet-wound. Characteristiccomminution of the bones. Bullet not re-moved. Recovery with a useful leg (X-raytracing) (Warren).. \ Fig. 502.—Transverse fracture of thetibia, high. Direct violence. Great swell-ing of leg. Threatening gangrene. Freeincisions. Leg saved. Result good. Samecase as figure 503 (Massachusetts GeneralHospital, 1064. X-ray tracing) (Scudder). Incisions in the long axis of the limb through skin and fasciawill be followed by a rapid decrease in the swelling of theleg and a cessation of the pain. After incision, the bleedingvessels found should be ligated. The bones may be sutured atthis time if it is thought wise. If these wounds remain aseptic,they may be closed after a few days by suture or may be allowed 356 FRACTURES OF THE LEG to heal openly. This method of treatment will usually result insaving the leg (see Figs. 502, 503). If the circulation does notreturn and gangrene is imminent, immediate amputation of thelimb well above the fracture at the lower or middle third of the


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901