. Atlas and epitome of traumatic . r). The adhesive material ismade according to the following formula : R. Cerse flavse. Kesinse Damarah. Colophon aa Terebinth. ^Ether. Spirit. 01. terebinth aa Filter. This mixture, which can be kept as long as desired in a 72 FRACTURES AND DISLOCATIONS. well-stoppered bottle, is not to be smeared on the strip ofcloth, as might be supposed, but is to be applied with aninsufflator so as to form a thin layer on the part of thebody which is to receive the dressing. The two strips ofcloth, which should be about inches wide, are thenapplied along


. Atlas and epitome of traumatic . r). The adhesive material ismade according to the following formula : R. Cerse flavse. Kesinse Damarah. Colophon aa Terebinth. ^Ether. Spirit. 01. terebinth aa Filter. This mixture, which can be kept as long as desired in a 72 FRACTURES AND DISLOCATIONS. well-stoppered bottle, is not to be smeared on the strip ofcloth, as might be supposed, but is to be applied with aninsufflator so as to form a thin layer on the part of thebody which is to receive the dressing. The two strips ofcloth, which should be about inches wide, are thenapplied along the limb, the ends being allowed to hangover for the attachment of the pulley rope. The strips areheld in place by wrapping the limb first with mull andthen with a gauze bandage. If the part is one that cannotbe bandaged in this way, the method cannot be used. Avery considerable degree of traction can be applied to thelimb by this method, which has the advantage that thestrips of cloth can be readily removed, after the outer ban-. Fig. 20.—Adhesive strips and elastic cloth (congress) with which ex-tension of any desired strength can be effected. dages have been cut, and used a second time. The skinmust be carefully washed with soap. In addition, some practical arrangement is needed forattaching the weights, such, for example, as a ring tied end of the strips, into which may be inserted the ringor hook attached to the cord that supports the weights(sandbag, bricks, etc.). Chafing of the limb must beavoided as much as possible by the use of a sliding foot-rest, etc., and by placing a tightly wound roller bandageor small wooden rollers under the limb. The extension method is used in the treatment of frac-tures of the long bones. It is especially recommended byBardenheuer. This surgeon uses lateral as well as longi-tudinal traction, and gets very good results (see page 61). GENERAL CONSIDERATIONS. 73 Many other surgeons, to my personal knowledge, haveworked up the technic


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