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İzahThe principles and practice of surgery (1872) (14598281780).jpg
English: Apparatus for fracture of the patella
Identifier: principlespracti1872hami (find matches) Title: The principles and practice of surgery Year: 1872 (1870s) Authors: Hamilton, Frank Hastings, 1813-1886 Subjects: Surgery General Surgery Publisher: New York : W. Wood & Co. Contributing Library: Francis A. Countway Library of Medicine Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
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Text Appearing Before Image: a. The patella is usually broken by falls upon the knee ; but occasion-ally by the action of the muscles alone, as when one attempts to savehimself from falling. The fracture is, in most cases, transverse, but occasionally the line offracture is oblique or longitudinal; sometimes it is comminuted. Thediagnosis is, in general, easily made, although in many cases of trans-verse fracture it may be difficult or impossible to discover crepitus.Ordinarily the original displacement of the upper fragment is aboutthree-quarters of an inch, but in some cases it is much greater. The treatment consists in elevating the limb upon a well-cushionedinclined plane, so as to relax the quadriceps femoris, and then securingthe upper fragment in place by a roller; after which the whole mustbe supported upon the splint by a roller extending from the foot to thegroin. In the accompanying drawing this last-named roller is only ap-plied to the lower portion of the leg, the dressing being incomplete. Pig. 112. Text Appearing After Image: Apparatus for Fractured Patella. The patella, having been broken transversely, usually unites by ashort ligament. If, however, the ligament is not more than half orthree-quarters of an inch in length, the limb will be as strong as if thefragments had united by bone. The cure cannot generally be consider-ed completed under six or eight weeks; but, to prevent anchylosis, pas-sive motion should be given to the joint as early as the fourth or fifthweek. Great care must be taken, while employing passive motion, notto rupture the ligament; and when the patient is permitted to leave thebed, he must be cautioned against bending the knee forcibly or bear-ing great weight upon it. I have known the new ligament to beruptured in several cases by attempts to rise from the sitting posture,and in others by bending the knee over the side of the bed. It hasbeen observed also that the refracture, or, to speak more correctly, that FRACTURES OF THE TIBIA. AND FIBULA. 307 the rupture of the newly formed l
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Fayl Faylin tarixcesi Fayl kecidleriSinaq gosterisi olcusu 800 408 piksel Diger olculer 320 163 piksel 640 326 piksel 1 366 696 piksel Faylin orijinali 8206 1 366 696 piksel fayl hecmi 180 KB MIME novu image jpeg Bu fayl Vikimedia Commons dadirve diger layihelerde istifade edile biler Faylin tesvir sehifesine get Xulase IzahThe principles and practice of surgery 1872 14598281780 jpg English Apparatus for fracture of the patella Identifier principlespracti1872hami find matches Title The principles and practice of surgery Year 1872 1870s Authors Hamilton Frank Hastings 1813 1886 Subjects Surgery General Surgery Publisher New York nbsp W Wood amp Co Contributing Library Francis A Countway Library of Medicine Digitizing Sponsor Open Knowledge Commons and Harvard Medical School View Book Page Book Viewer About This Book Catalog Entry View All Images All Images From Book Click here to view book online to see this illustration in context in a browseable online version of this book Text Appearing Before Image a The patella is usually broken by falls upon the knee nbsp but occasion ally by the action of the muscles alone as when one attempts to savehimself from falling The fracture is in most cases transverse but occasionally the line offracture is oblique or longitudinal sometimes it is comminuted Thediagnosis is in general easily made although in many cases of trans verse fracture it may be difficult or impossible to discover crepitus Ordinarily the original displacement of the upper fragment is aboutthree quarters of an inch but in some cases it is much greater The treatment consists in elevating the limb upon a well cushionedinclined plane so as to relax the quadriceps femoris and then securingthe upper fragment in place by a roller after which the whole mustbe supported upon the splint by a roller extending from the foot to thegroin In the accompanying drawing this last named roller is only ap plied to the lower portion of the leg the dressing being incomplete Pig 112 Text Appearing After Image Apparatus for Fractured Patella The patella having been broken transversely usually unites by ashort ligament If however the ligament is not more than half orthree quarters of an inch in length the limb will be as strong as if thefragments had united by bone The cure cannot generally be consider ed completed under six or eight weeks but to prevent anchylosis pas sive motion should be given to the joint as early as the fourth or fifthweek Great care must be taken while employing passive motion notto rupture the ligament and when the patient is permitted to leave thebed he must be cautioned against bending the knee forcibly or bear ing great weight upon it I have known the new ligament to beruptured in several cases by attempts to rise from the sitting posture and in others by bending the knee over the side of the bed It hasbeen observed also that the refracture or to speak more correctly that FRACTURES OF THE TIBIA AND FIBULA 307 the rupture of the newly formed l Note About Images Please note that these images are extracted from scanned page images that may have been digitally enhanced for readability coloration and appearance of these illustrations may not perfectly resemble the original work Tarix 1872 Menbe https www flickr com photos internetarchivebookimages 14598281780 Source book page https archive org stream principlespracti1872hami principlespracti1872hami page n323 mode 1up Muellif Internet Archive Book Images Icaze Faylin tekrar istifadesi At the time of upload the image license was automatically confirmed using the Flickr API For more information see Flickr API detail Flickr tagsInfoFieldbookid principlespracti1872hami bookyear 1872 bookdecade 1870 bookcentury 1800 bookauthor Hamilton Frank Hastings 1813 1886 booksubject Surgery booksubject General Surgery bookpublisher New York W Wood Co bookcontributor Francis A Countway Library of Medicine booksponsor Open Knowledge Commons and Harvard Medical School bookleafnumber 323 bookcollection medicalheritagelibrary bookcollection francisacountwaylibrary bookcollection americanaFlickr posted dateInfoField30 iyul 2014 Lisenziya This image was taken from Flickr s The Commons The uploading organization may have various reasons for determining that no known copyright restrictions exist such as The copyright is in the public domain because it has expired The copyright was injected into the public domain for other reasons such as failure to adhere to required formalities or conditions The institution owns the copyright but is not interested in exercising control or The institution has legal rights sufficient to authorize others to use the work without restrictions More information can be found at https flickr com commons usage Please add additional copyright tags to this image if more specific information about copyright status can be determined See Commons Licensing for more information No known copyright restrictions No restrictions https www flickr com commons usage false This image was originally posted to Flickr by Internet Archive Book Images at https flickr com photos 126377022 N07 14598281780 It was reviewed on 20 sentyabr 2015 by FlickreviewR and was confirmed to be licensed under the terms of the No known copyright restrictions 20 sentyabr 2015CaptionsazerbaycancaAdd a one line explanation of what this file representsItems portrayed in this filetesvir ediryaradiciSome value without a Vikiverilenler itemobyektin rolu fotoqrafmuellifin qisa adi Internet Archive Book ImagesFlickr user ID nbsp ingilis 126377022 N07URL nbsp ingilis https www flickr com people 126377022 N07copyright status nbsp ingilisno known copyright restrictions nbsp ingilislisenziyano known copyright restrictions nbsp ingilisyaranma tarixi1872source of file nbsp ingilisfile available on the internet nbsp ingilisistifadeci Flickrdescribed at URL nbsp ingilis https www flickr com photos internetarchivebookimages 14598281780MIME type nbsp ingilisimage jpeg Faylin tarixcesi Faylin evvelki versiyasini gormek ucun gun tarix bolmesindeki tarixlere klikleyin Tarix VaxtKicik sekilOlculerIstifadeciSerh indiki04 14 20 sentyabr 20151 366 696 180 KB Fae int filedesc subst chc information description en 1 lt br gt 039 039 039 Identifier 039 039 039 principlespracti1872hami https commons wikimedia org w index php title Special 3ASearch amp profile default amp fulltext Search amp search insource 3A 2Fprinciplespra Fayl kecidleri Bu sekile olan kecidler Diz qapaginin siniqlari Menbe https az wikipedia org wiki Fayl The principles and practice of surgery 1872 14598281780 jpg, wikipedia, oxu, kitab, kitabxana, axtar, tap, hersey,
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