The treatment of fractures . splint may be returned and kept on for twomore weeks. After this the splint should be re-moved and careful passive movements made at theknee, and a light jdaster dressing again applied forten days, when it may again be removed, and, as arule, left off. The limb after this should have dailygraduated massage and passive movements and bebandaged with a flannel bandage. The patient shouldnot be allowed to walk on the limb for eight weeks,as the pressure of his weight and the obliquity of thearticular surfaces are apt to cause some deviation andmuch aching pain afterwar
The treatment of fractures . splint may be returned and kept on for twomore weeks. After this the splint should be re-moved and careful passive movements made at theknee, and a light jdaster dressing again applied forten days, when it may again be removed, and, as arule, left off. The limb after this should have dailygraduated massage and passive movements and bebandaged with a flannel bandage. The patient shouldnot be allowed to walk on the limb for eight weeks,as the pressure of his weight and the obliquity of thearticular surfaces are apt to cause some deviation andmuch aching pain afterwards. Fracture of the Condyles.—As I said, in my ex-perience fracture of only one condyle is rare. I havemost frequently seen inter-condyloid or almost longi- Fractures of the Femur. 141 tudinal fractures—very commonly these fractures aremultiple, that is to say a sort of T fracture. In thesecases the condyles are much broadened, and some-times the lower end of the upper fragment projectsbackward into the popliteal Fig. 35. Intercondyloid fracture of the femur. The reduction and after-treatment of these frac-tures should be similar to that for epiphyseal frac-tures. The prognosis as to function of the knee-joint is, however, not so good. After a month in splintsof plaster-of-Paris, careful graduated passive move-ments and massage will do a great deal towards re-storing the functions of the joint, but it is rare toobtain absolutely free movements after these should be warned of this at the beginning oftreatment. As the attachments of the crucial liga-ments are usually broken in these fractures, the knee-joint will likely never be as strong as before, andpatients will be apt to suffer from sudden wrenchesand giving-way of the knee. Some firm apparatusabout the knee should be worn for months after theseinjuries to protect the joint. Rheumatic and gouty subjects are very apt to havepain about the affected knee-joints for long periodsafter fractures of th
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