New England Journal of Medicine · 1847 · 15 citations · 0 references
MedicineOrthopaedic SurgerySurgeryAmputation RehabilitationOrthopedic RehabilitationOrthopedicsAmputationExtremity TraumaAdvanced AgeLower Extremity FracturesLower Limb Pathologic Fractures
Upon examination, I found a fracture of both the small bones of the right limb ; of the tibia, about two inches below the knee, and of the fibula, a little lower.From the fact that she was su Hering from partial paralysis of the right side, and her advanced age, there seemed but little prospect that a union of the broken bones would ever be eflected.How- ever, I placed the broken ends of the bones in apposition, and retained them there by a many-tailed bandage, and suitable splints.For a week or more she experienced much pain from the spasmodic action of the muscles, and the inflammation and soreness of the limb.At the end of the third week, the inflammation and swelling had entirely subsided.On my next visit, eight days from that time (February 23), 1 found that osseous union of considerable strength had actually taken place.Since then, her recovery has been rapid, and the foot can be placed upon the floor, and the limb moved with ease.And what may be considered somewhat remarkable, she can now use her right hand in helping herself to food, which she could not do before the accident.Respectfully,