Atlas and epitome of traumatic fractures and dislocations . ong from the crest of the tibia aboveand from below as far as the seat of fracture. On theother hand, it is often difficult to determine the pointwhere the fibula is fractured. Nowadays with the aid ofRontgen rays it can be ascertained with certainty. To determine the presence of abnormal mobility at thesuspected seat of fracture it is well to have an assistantwho should firmly fix the knees with both hands, thepatient lying flat on the table or in bed. The surgeonmeanwdiile with one hand, say the left, feels for the seatof fracture,
Atlas and epitome of traumatic fractures and dislocations . ong from the crest of the tibia aboveand from below as far as the seat of fracture. On theother hand, it is often difficult to determine the pointwhere the fibula is fractured. Nowadays with the aid ofRontgen rays it can be ascertained with certainty. To determine the presence of abnormal mobility at thesuspected seat of fracture it is well to have an assistantwho should firmly fix the knees with both hands, thepatient lying flat on the table or in bed. The surgeonmeanwdiile with one hand, say the left, feels for the seatof fracture, while with the other (the right) he seizes theleg at the ankle and alternately performs abduction and 310 FRACTURES AND DISLOCATIONS. adduction. If the surgeon experiences unusual difficultyand the data obtained by other methods of examinationare uncertain^ it is a good plan for the surgeon to brace thesuspected seat of fracture and the left palpating handagainst his own body, for instance, the thigli, while heattempts to move the leg with the right Fig. 139.—Old fracture of the legwith deformity ; the bones are bowedbackward. Fig. 140.—Lateral bow-ing in an old fracture of theleg. Treatment.—All possible care should be exercised toreduce the fracture; it may be done by vigorous extensionon the injured foot and counterextension of the thigh orpelvis, with direct manipulation at the seat of fracture. Ifthe fracture is transverse, however, the displacement isvery apt to recur. The tendency for the upper or, in FRACTURES OF THF LOWER EXTREMITY. 311 exceptional cases, the lower fragment to injure the skin infront where it is thin must be combated by position, thelimb being slightly overextended at the seat of certain amount of care is needed to bring about cor-rect reduction and maintain the fragments in position. Therule that when the leg is in the proper position, the anteriorsuperior spine, the inner border of the. patella, and theinner side of the great
Size: 1583px × 1579px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
