A practical treatise on fractures and dislocations . imb, at the twoextremities of which are two horizontal mortises through which a band is passed,and which may be buckled upon itself behind. The centre of the metallic arch,in front, is penetrated with a firm metallic screw, terminating in a very sharppoint, and which is moved by a flat thumb-piece. The limb being laid over adouble inclined plane, and the pads being carefully adjusted, as we have alreadydirected when speaking of other forms of apparatus, and the limb properly ex-tended, the apparatus of Malgaigne is placed over the limb, with


A practical treatise on fractures and dislocations . imb, at the twoextremities of which are two horizontal mortises through which a band is passed,and which may be buckled upon itself behind. The centre of the metallic arch,in front, is penetrated with a firm metallic screw, terminating in a very sharppoint, and which is moved by a flat thumb-piece. The limb being laid over adouble inclined plane, and the pads being carefully adjusted, as we have alreadydirected when speaking of other forms of apparatus, and the limb properly ex-tended, the apparatus of Malgaigne is placed over the limb, with the sharp pointof the screw resting upon the upper fragment, a few lines above the point of 1 Barton, Amer. Journ. of Med. Sci., vol. xvi. p. 31, and vol. xix. p. 515. FRACTUKES OF THE TIBIA AND FIBULA 489 fracture ; and at the same moment that this point is pressed firmly down to thebone, the fragments being held together by an assistant, the strap is buckled astightly as possible under the splint. A few turns of the screw will now make Fig. Malgaignes apparatus for oblique fractures of the leg. (From Malgaigne.) its point penetrate more deeply into the bone, and insure the most completeapposition of the broken extremities. This is accomplished, says Malgaigne, with very little pain to the patient; and, as will be seen, the steel arch effect- Fig. 329.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures