. A treatise on dislocations and fractures of the joints. ished, the patient is to be placed upon a mattressproperly prepared, and is to rest on the side on which the injury hasbeen sustained ; the surgeon is then to bend the leg at right angleswith the thigh, so as to relax the gastrocnemii muscles as much aspossible ; and an assistant grasping the foot, must gradually draw itin a line with the leg. The surgeon then fixes the thigh and pressesthe tibia downwards, thus forcing it upon the articulating surface ofthe astragalus. Great force is required if the limb be placed in theextended positi
. A treatise on dislocations and fractures of the joints. ished, the patient is to be placed upon a mattressproperly prepared, and is to rest on the side on which the injury hasbeen sustained ; the surgeon is then to bend the leg at right angleswith the thigh, so as to relax the gastrocnemii muscles as much aspossible ; and an assistant grasping the foot, must gradually draw itin a line with the leg. The surgeon then fixes the thigh and pressesthe tibia downwards, thus forcing it upon the articulating surface ofthe astragalus. Great force is required if the limb be placed in theextended position, from the resistance of the gastrocnemii; and it ispleasing to observe, after most violent attempts by others, a well-in-formed surgeon gently bend the limb, and, under a comparativelyslight extension, return the parts to their natural situation. When the limb has been reduced it is still to remain upon its outerside in the bent position, with the foot well supported; a many-tailedbandage is to be placed over the part to prevent it from slipping, and. this is to be kept wet with an evaporating lotion. Two splints arethen to be applied ; and each is to have a foot-piece, to give supportto the foot, to prevent its eversion, and to preserve it at right angleswith the leg. If much inflammation succeeds, leeches are to be ap-plied, the bowels to be opened, and the constitution may possiblyrequire relief by taking blood from the arm ; but I shall say no moreon this subject until I describe compound dislocation of this person who has sustained this accident may be removed from hisbed in five or six weeks, long straps of plaster being passed around29 226 DISLOCATION OF THE TIBIA the joint to keep the parts together, and he may be suffered to walkon crutches; but from ten to twelve weeks will elapse before he hasthe perfect motion of the foot; and much friction and passive motionwill be required after the eighth week to restore the natural motionsof the joint. The following c
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
