The American practitioner : a monthly journal of medicine and surgery . the strips are put on, envelopthe entire limb evenly and well in alayer of cotton-wadding. Then take apiece of moderately thick pasteboard,four inches wide, and long enough toreach from the nates to the heel; makein this, throughout its entire lengthand through half its thickness, with aknife, incisions one inch apart; coverthis, the outer surface, with a layer ofpaste. Apply to the posterior part ofthe limb. Should the pasteboard provetoo wide about the lower part of theleg and ankle, tear off a sufficiency ofits edges. P
The American practitioner : a monthly journal of medicine and surgery . the strips are put on, envelopthe entire limb evenly and well in alayer of cotton-wadding. Then take apiece of moderately thick pasteboard,four inches wide, and long enough toreach from the nates to the heel; makein this, throughout its entire lengthand through half its thickness, with aknife, incisions one inch apart; coverthis, the outer surface, with a layer ofpaste. Apply to the posterior part ofthe limb. Should the pasteboard provetoo wide about the lower part of theleg and ankle, tear off a sufficiency ofits edges. Place on each side of thelimb, from the hip as far down towardthe ankle as may be necessary, a nar-row strip of pasteboard, and a singleshort strip on the front part of thethigh. Use now more wadding aboutthe condyles and malleoli if the splints in position by pasting or tying over them,at intervals, slips of bandage. Envelop the whole with alayer of the bandage of Scultetus, well covered with thepaste. Carry from the upper part of this a strong 30 Immovable Apparatus in Fractures. Apply a second layer of the strip-bandage. Strengthen thespica by a few additional turns; add a third layer of thestrips; use the paste liberally; attach the foot-weight; and if counter-extension be desired,effect it by elastic tubing in theperineum, or by lowering thetrunk; and the dressing is com-plete. If it be well done, immo-bility of the hip and entire pelvisis almost certainly secured. Fig. 2illustrates this dressing. In frac-tures of the leg I also use threesplints of pasteboard. One, fourinches broad, applied on the backof the leg, and reaching from threeinches above the knee to a shortdistance below the heel. The twoothers are applied on the sides ofthe leg, and are made sufficientlylong to meet on the sole of thefoot. In children I usually dis-pense with splints, the eggs andflour making the dressing suffi-ciently firm. The first series embraces ten cases of fracture
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
