. A practical treatise on fractures and dislocations. )osing factors specially souo;htto be controlled by most of the methods are the ei!\ision in the jointand the action of the quadriceps to create or maintain separation. The production of the effusion may be opposed by systematic press-ure or cold ; its absorption may be liastene<l by pressure or niassnoe, orit maybe immediately removed by ])uncture or aspiration. 1 preferpressure with a liglit rubber bandage; this will remove the etVusiourapidly or, if the case is seen early, will notably limit its prothieti 11ion. 416 FRACTURES. Immedia
. A practical treatise on fractures and dislocations. )osing factors specially souo;htto be controlled by most of the methods are the ei!\ision in the jointand the action of the quadriceps to create or maintain separation. The production of the effusion may be opposed by systematic press-ure or cold ; its absorption may be liastene<l by pressure or niassnoe, orit maybe immediately removed by ])uncture or aspiration. 1 preferpressure with a liglit rubber bandage; this will remove the etVusiourapidly or, if the case is seen early, will notably limit its prothieti 11ion. 416 FRACTURES. Immediate removal of the efFiision by aspiration or puncture, withor without Avashing of the joint, is occasionally practised, but, exceptin rare conditions such as a large intra-articular hsematoma, has no. Dressing for fracture of the patella. The final turns of the roller in front of the knee are not shown in the cut. marked superiority over tlie slower removal by pressure. If washingis done it should be with a hot sterile salt solution, not with carbolicacid. After removal, immediate or gradual, recurrence must be opposedby bandaging; the application of strips of adhesive plaster so asentirely to cover the front and sides of the joint has been recom-mended, but a well-applied roller is probably equally efficient. Approximation of the fragments is effected by the hands, and itsmaintenance by a great variety of devices from a simple circularbandage to complex apparatus. All are combined with a posteriorsplint for immobilization and usually with confinement to the bed withthe foot raised for at least a month. As for active separation of thefragments by the quadriceps, full extension of the knee with elevationof the foot (flexion of the hip) prevents it. The simplest form is a roller-band
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
