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Although I am perfectly well aware of the obstacles which still beset the ambulatory treatment of fractures of the lower extremities, I nevertheless claim that it is not necessary to confine the patient to bed for more than a week, even with fracture above the middle of the femur. On admission, the whole extremity should be carefully disinfected with soap, water and alcohol, and the hair removed. Then strips of cotton lining are pasted on the skin with Heusner's fluid adhesive plaster, and included in the dressing in such a manner as to leave the ankles free and to allow a small square board to be fastened at least three inches below the sole. To this board weights for extension are fastened. In the morning when the ambulatory apparatus is put on again, the weights are taken off and the strips are reversed and fastened with pins. In this way
WIENER AC. AMBULATORY TREATMENT OF FRACTURES OF THE FEMUR; NEW MATERIAL FOR SPLINTS AND ORTHOPEDIC APPARATUS. JAMA. 1897;XXVIII(3):99–100. doi:10.1001/jama.1897.02440030003001a
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