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tension, &c. When the head of the bone passes upward and back- 
ward, the leg must be shorter than the other, so that pe cea 
the toes only will touch the ground when the patient stands on th > 
other foot ; and the knee and foot will be turned inward + aie. 
_~ When the bone is luxated upward and forward, the leg must be > 
shortened ; the head of the bone may be felt in the groin, and a 
vacaney im the hip; the knee and toes will be turned outward, and ~ 
if not soon replaced; the pressure will cause pain in the spermatic 
cord and testicles. = 
In the most frequent luxation of this bone, viz.: forward and 
downward, the leg appears to be considerably longer than the other ; 
the knee and poiis of the toes are turned outward; a vacancy is 
felt in the hip, and the head of the thigh bone may be plainly felt a - 
little below the groin, in the round holes =< a ee 
A dislocated thigh bone is generally considered very difficult of 
reduction, particularly in cases of long standing, and great power is 
considered requisite : but with the proper appplication of the relax- 
ing ointments before mentioned, this difficulty is in a great measure 
overcome. : ‘, 
The reduction of this bone is commonly attempted b ling the 
limb downward. Some advise the limb ere jnlen PA, 
the part in which it is lodged ; others desire it to be pulled es actly 
in a line with the hip joint. The patient being placed upon his back, 
and properly secured, the limb is extended in one or other of these di- _ 
rections, till the reduction is accomplished, or till such a force is ap- 
plied as makes the operator afraid to proceed further. =. 
_ Dislocations of this bone are often reduced in this manner, 7 
without any relaxing application : but it will not succeed in al] 
and cannot therefore be trusted to as a general rule. 
In severe cases, and when the head of the bone is pushed down- 
ward and forward, the following method will usually succeed: the 
patient is laid on—his back across a bed, and firmly secured by two 
or three assistants ;-a broad strap, or table cloth, properly folded, is — 
passed between the thighs and over the groin, on the sound side, and 
given to two other assistants ; a similar strap is to be passed round 
the luxated thigh, as near as possible to the head of it; the ends of 
which must be given to an assistant, standing on the opposite side; 
a stiff leather belt having been fixed closely round the thigh, above 
the knee, with straps fastened to it to pull by, these straps are to be 
given to-an assistant or two, while the knee is supported by another 
assistant with the leg moderately bent. The thigh is now to be 
moderately stretched by the assistants who have charge of the straps 
at the foot ; but the extension should not be carried farther than 
what may be considered necessary for drawing the head of the bone 
down to-the under part of the round hole ; and. this may be done 
with moderate force. The strap round the top of the thigh must 
now be firmly pulled by those who have charge of it ; who, standing 
somewhat higher than the patient, should draw the thigh upw: 
and inward; and the extension should be continued in this di 
tion till there is reason to suppose that the head of the bone i 
ly raised from the hole in which it is lodged. At this time 1 
vat knee should be desired to move it somewhat inwa 
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