ee FRACTURE. 
Breaks withiA two of three wiichéa of the malléolus » Sefernus 3 ; 
racture falls inward toward t 
“tibia ; when the ‘malleolus externus is_turned fomewhat hee 
e tibia, having loft its Bn oe fup- 
Tot erfect 
; ety b 
‘the powerfu ul: m 
with the knee ae ented tors the ates ae the calf 
of the leg, and thofe which pafs bare the fibula and under . 
the os ealcis,-are all put, accordin Mr. Pott, into a ftate 
“of relaxation and non-refittance ; ee the 
“ble, in general, v eae im oer ely 3 the foot may eafily 
* pliced right, the joint reduced, and, by obferving the fame 
“pofition, every thing. will pascere fucceed. 
In. whatever manner a fracture of the fibula is occafioned, 
the fragments — be difplaced in the longitudinal di- 
reCtion, ‘Theirends are always forced into the interoffeous 
ee towards the t 
(At fradture of de an portion of the fibula may always 
ae difcovered:with moderate eafe, on account. t. of the luper- 
“the bones “here covered wit tha ane coat of “fleth 
_Treatinent of F; eal of the a 
“the Tab | porn i: the other, ae t. pofture. 
é s the adv. 9 lees th: 
od are ‘not in 
iy 
o 
ae 
ings. 
e pow ents mufcles of the :calf of the = are to be re- 
“axed by bending t the knee and extending the foot, and the 
limb is to be laid in this pofition on its outfide, with the 
foot peesire fapported. The furgeon is now, with his af- 
= ftan 
e. whatever exterifion and counter-extenlion 
for widlendg ~ the eee f any tae, waifcharge, ‘&e. 
“with which thele isdeaments mut fometi times come into con- 
Ww A 
aa. Me Sharp : ee 
“which has ‘been previoufly prepared, by coverin 
{oft pad, an 
difficulty and trou- _ 
be 
terfpaces between 
ts _ prejudicial, in — of fra€tured bones, as a ‘frequently | 
ame time, ; L 
an -eertain. es ren der 
ne . 
o! fk the a. — 
“hed, by taking firmly hold of the timb, *below and above 
the fradture, and elevating the broken bones tagether, in 
fach a way as fhall keep Both the upper arid id portions, 
as nearly as poffible, on the fame level; At this moment, an 
affiftant fhonld put exactly under the leg the under {plint, 
oa & 
on 
3 
es 
o 
4} 
: a uc 
inftan 
ouihees | infide of te foot ; 
Befides the two fplints and eal already mentioned, when 
the frature is oblique, and the heel has a great tendency to 
e drawn backward, this effet may be much counteraGted 
oan pplying‘a_comprefs and longitudinal piece of ‘pafte- 
board, from the lower part of the belly of: the gaftrocne- 
es ‘mufcle to the ial, under the ftraps Tf the other fplints. 
Thi 
method prevents deformity 4 in a very powerful manner 
When there is a: great deal of contufion of the foft. parts, 
~ together with the injury of the bones; it is better, at fri, 
‘to keep the leg wet with vi lotion of fal a 
a ae eriinicaed and, 
ans of linen dippe s app eats and 
ints. The {plints eel not - : 
every time it is neceflary to wet the line n again; ; “ti is ‘quite 
fufficient to {queeze the fluid out of a a nge : o the in: 
the above inftruments. fo 
r, by me 
er 
thing is 
moving the 1 njur 
parts, 
edged, that, in Ses ace of the 
pofition is not of much 
he: calf, is attended with ofi E very ood a VIZ. 
that the confinemént of t ee, in a moderately bent po- 
fition, does not render it fo incapable of flexion and ufe af- 
terwards, as. th or oo pofition of it does, 
and, confequently, that the patient will be much fooner 
able to walk, whofe leg has been eae in the former pofture, 
than he whofe leg thas been confined ia the latter, 
We have juft to remark, ‘that when the feraight pofture 
“OD 
“is adopted it is beft to lay. the limb iny what is called, a 
- e-box 
Fradures of the Foot, Toes, ie 
‘The os calcis is now and then fratured, ae in general 
aa by the fall of fome ‘confiderable weight upon 
When the foft parts, and. the reft of the oe ‘are ferioully 
bruifed and crufhed. at the fame time, it may be more proper 
@ perform amputation : once, than’ ay to = the limb. 
the fraé e of the 
