A practical treatise on fractures and dislocations . ation inevitable or probable, this form of dressing exposes to con-gestion, strangulation, and gangrene. Whatever its advocates may sayto the contrary, the simple fact is before us that the number of accidentsresulting from this practice is out of all proportion with any other yetintroduced. I myself have met with them in all parts of my own coun-try, and the journals abound with records of disasters from this 1 Berliner klinische Wochenschrift, 1880. 2 Nelson, Annals of Anatomy and Surgery, April, 1882. 3 Amer. Journ. Med. Sci., vo
A practical treatise on fractures and dislocations . ation inevitable or probable, this form of dressing exposes to con-gestion, strangulation, and gangrene. Whatever its advocates may sayto the contrary, the simple fact is before us that the number of accidentsresulting from this practice is out of all proportion with any other yetintroduced. I myself have met with them in all parts of my own coun-try, and the journals abound with records of disasters from this 1 Berliner klinische Wochenschrift, 1880. 2 Nelson, Annals of Anatomy and Surgery, April, 1882. 3 Amer. Journ. Med. Sci., vol. xxv. p. 460, Feb. 1840; also vol. xxxi. p. 212. , Nov. 1, 1873. New York Med. Journ., Aug. 1874, Oct. 1874. GENERAL TREATMENT OF FRACTURES. 69 Nor is it a sufficient reply to this statement that with proper care and pru-dence such accidents may be avoided. We think they could not alwaysbe avoided. But admitting that they could, it is still undeniable that incertain cases the immovable apparatus demands extraordinary attention; Fig. Opening of the apparatus with Seutins pliers. and what is the need of multiplying our cares when already they aremore than sufficient ? Many circumstances, over which he has no con-trol, may prevent the surgeon from giving to the limb the full amount ofattention which is required ; and for this reasonthat apparatus is the best which, whilst it answersthe indications equally well, exacts the leastamount of skill and attention on the part of thesurgeon. Immovable dressings are not only liable tobecome too tight as the swelling augments, but,on the other hand, the surgeon may omit tonotice that as the swelling has subsided it hasbecome loose. Portions of the limb may vesi-cate, ulcerate, or even slough, without the knowl-edge of the surgeon. If, however, the bandagesare frequently opened, and all the proper pre-cautions are taken, it is possible that these acci-dents may also be avoided; but unfortunatelyexperience has shown that they
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