. Atlas and epitome of traumatic . Fig. 149.—Rontgen-ray pictures of a typical fracture of the ankle ofsome standing, with a skiagraph of the sound leg. Saklowsky, female,forty years old, sustained this fracture fourteen years before pictureswere taken. The fracture healed without medical treatment of anykind in the course of a year. Typical deformity. Increasing diffi-culty in walking and standing. Operation: Osteotomy of the internalmalleolus and fibula, followed by correction of the deformity. Aweek later another attempt to correct the position of the foot wasmade under anesthesia. Uneventf


. Atlas and epitome of traumatic . Fig. 149.—Rontgen-ray pictures of a typical fracture of the ankle ofsome standing, with a skiagraph of the sound leg. Saklowsky, female,forty years old, sustained this fracture fourteen years before pictureswere taken. The fracture healed without medical treatment of anykind in the course of a year. Typical deformity. Increasing diffi-culty in walking and standing. Operation: Osteotomy of the internalmalleolus and fibula, followed by correction of the deformity. Aweek later another attempt to correct the position of the foot wasmade under anesthesia. Uneventful recovery with considerable im-provement in position. of the body. Gross mistakes are still made in its treat-ment, with grave consequences to the function of the jointand the individuals ability to earn a living for the rest ofhis life. Treatment.—First and most important is complete re- FRACTURES OP THE LOWER EXTREMITY. 327 placement of the fragments. The foot as a whole must beforced over toward the tibia by a movement of


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