Birth Fractures And Epiphyseal Dislocations

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The original displacement has been over-corrected.
S-SOYS.
Fig. 79. — Case 4. After five days' treatment on the Van Arsdale splint the condition of the fracture was found to be unsatisfactory. There was extreme over-riding of the fragments with shortening of the thigh, easily appreciated when the length of the thigh in this and the preceding picture is compared with the opposed side of the splint. The lower fragment has also dropped downward, forming a moderate angular deformity.
Fig. So. — Cas
...e 4. In the hope of improving the deformity the leg was removed from the Van Arsdale splint and a long side splint applied. While the position as seen from the front was fairly satisfactory (at the left) the lateral view showed an aggravation of the angular deformity. Traction afforded by the side splint had reduced the over-riding but the flexion of the proximal fragment was even more acute than before, increasing the separation between the fragments.
w-zvi" Fig. &i.—Case 4- The Van Arsdale splint had been re-applied.


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