. Minor and operative surgery, including bandaging . , and the transportation of the patient andthe temporary dressing of thefracture are, therefore, mattersof the first importance. Infractures of the upper extremity,if the fracture be simple, theclothing need not be removed,and the arm should be boundto the side by some article ofclothing, or supported in asling made from handkerchiefsor the clothing, and the patientcan usually walk or ride for ashort distance without muchinjury to the parts in the re-gion of the fracture or incon-venience to himself. Whenthe bones of the lower extremi-ties o
. Minor and operative surgery, including bandaging . , and the transportation of the patient andthe temporary dressing of thefracture are, therefore, mattersof the first importance. Infractures of the upper extremity,if the fracture be simple, theclothing need not be removed,and the arm should be boundto the side by some article ofclothing, or supported in asling made from handkerchiefsor the clothing, and the patientcan usually walk or ride for ashort distance without muchinjury to the parts in the re-gion of the fracture or incon-venience to himself. Whenthe bones of the lower extremi-ties or the trunk are the partsinvolved, the transportation ofthe patient is a matter of moredifficulty. When the bones ofthe trunk are involved, thepart should be surrounded bya binder firmly pinned or tied,made from the clothing or from towels, or sheets, or other strong materials which are athand. When the bones of the lower extremity are in-volved, if the fracture be a simple one the clothing neednot be removed, and the motion of the fragments should. Provisional dressing for fracture ofthe leg. (Esmarch.) 346 FRACTURES. be prevented by applying to the sides of the limb, extend-ing above and below the seat of fracture, strips of wood,shingles, pasteboard, bundles of straw, strips of barktaken from trees, or bundles of twigs, these being heldin place by handkerchiefs or strips torn from the clothing(Fig. 248). Umbrellas or canes, or broomsticks, appliedin the same manner, may be employed, the object of allof these dressings being to secure temporary fixation ofthe fragments of bone during the transportation of thepatient. If the fragments are not fixed in some way, but are al-lowed to move about during the transportation of thepatient, much damage may result to the soft parts sur-rounding the fractured bones, and simple fractures maybecome compound ones by the bones being forced throughthe skin, the discomfort of the patient at the same timebeing much increased. Having applied a d
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