When the splints and dressings are removed from a fractured part there is always more or less stiffness in the unused joints. As a rule, the massage should not be used until there is a firm union of the bony parts.1

Apply introductory massage the first two or three days. Then knead the whole extremity, being careful not to use too much pressure over the break. After a few seances the passive movements (rotation, flexion and extension), should be used. It is sometimes necessary to work upon one special part particularly; for instance, the rectus femoris, which is generally contracted in a fracture of the patella.

The active movements are sometimes indicated.

In Figs. 114 and 115 we have represented two different ways of forcing contracted limbs and stiff joints. The practical operator will see at a glance the great benefit obtained from the positions given.