. A practical treatise on fractures and dislocations. n be applied while the injuryis recent, and loosened or tightened as the need arises, and it permitseasy inspection, to detect and correct such displacements as may occurbeneath it. It also permits massage and the application and change ofsuch dressings as may be needed for associated wounds of the skin orfor blisters. It may become so loose after a week or two that it does not properlysupport the fragments, and should then be renewed. It should beworn until mobility can no longer be recognized, usually five to sevenweeks, and the patient c
. A practical treatise on fractures and dislocations. n be applied while the injuryis recent, and loosened or tightened as the need arises, and it permitseasy inspection, to detect and correct such displacements as may occurbeneath it. It also permits massage and the application and change ofsuch dressings as may be needed for associated wounds of the skin orfor blisters. It may become so loose after a week or two that it does not properlysupport the fragments, and should then be renewed. It should beworn until mobility can no longer be recognized, usually five to sevenweeks, and the patient can go about on crutches during most of thattime. If union is delayed beyond that time it is well to let the patientbear part of his weight upon the foot in walking, angular displacementthereby being prevented by a strong plaster encasement. Instead of a Volkmann splint during the first week side splints ofwood or wire or a posterior plaster moulded splint (Fig. 306) or pos-terior and lateral splints (Figs. 328 and 329) may be used, and they Fig Making forcible traction in fracture iif the the later may also, especially the moulded ones, be serviceable duringstages if wounds of the anterior soft parts require drosj;ing. If firm, prolonged traction is required to correct the displacement itcan be conveniently made, as shown in Fig. 307; plaster splints can boapplied and allowed to harden while the traction is maintained. Continuous traction by a weight attached to the limb bv adhesive})laster on its sides, or by bands crossing the dorsum of the foot andabove tiie heel, may sometimes be used with advantage. But the seo-ment of tlie limb to which the plaster must be attached is often tooshort to give sufficient fixation, and bands about the fi>ot and heel needto^be adjusted with great care lest they should cause sloughs. 436 FRACTURES. In compoiind fractures tlie bivalve or fenestrated or interruptedsplint may be used, or anterior and posterior moulded splints, one ofwhicl
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
