The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatusHill, Berkeley
Science
The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus
Hill, Berkeley
Bandages and bandaging; Dislocations -- Treatment; Fractures -- Treatment; Surgery, Minor
=The Knee.=—These dislocations are rarely complete, and are easily
reduced; the lateral ones by flexing the thigh on the belly,
straightening the leg, and rotating it a little from side to side.
_Another Plan._—_Apparatus._—Two jack towels. This is more useful
when the tibia is carried backwards. Lay the patient on his back,
and slip a jack towel in a clove hitch up the leg to the ham, and
another round the small of the leg; the thigh is bent and retained in
a semiflexed position by an assistant holding the jack towel at the
ham, while a second pulls on the one at the ankle and so disengages
the bones from each other, when the surgeon readily slips them into
place.
After reduction is accomplished, the limb should be fixed in a
leathern back splint until the inflammation subsides.
=Dislocation of the Patella.=—The displacement of this bone on to the
outer or inner condyle is generally easily reduced if the knee is
straightened and the vasti relaxed by bending the thigh on the belly.
When the patella is turned on its own axis, the side, not the under
surface, is locked against the condyle, and reduction is sometimes
extremely difficult or impossible. The same movements must be adopted
as for simple lateral displacement, and the surgeon must endeavour to
release the bone by pressing its upper edge downwards with his thumbs.
After their reduction, all dislocations about the knee-joint must be
treated by rest, straight splints, and evaporating lotions.
=The Foot= is very rarely dislocated from the leg without fracture
of the malleoli. Its reduction requires simple extension of the foot
on the leg, with the knee bent; the surgeon grasps the heel in one
hand, the foot in the other, while an assistant fixes the thigh
in the half-bent position. The foot is first drawn downwards to
disengage it from the tibia, and then directed into its place.
After reduction the limb should be put in a McIntyre’s splint, in the
way described for fracture of the tibia near the ankle-joint.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account