. The principles and practice of surgery. ditional bran is packed between the sides of the box and the leg; andfinally the box is suspended in the same manner that it has beenadvised to suspend the leg when lateral splints are employed. The object in placing the bran inside of cloth, and not directly inthe box, is to prevent its escape through the joints, and at the upper endof the box. If the bran becomes soiled by blood or pus, that which is soiled maybe at any time removed, and replaced by fresh bran, without dis-turbing the limb. In the preceding pages I have already expressed my convictio
. The principles and practice of surgery. ditional bran is packed between the sides of the box and the leg; andfinally the box is suspended in the same manner that it has beenadvised to suspend the leg when lateral splints are employed. The object in placing the bran inside of cloth, and not directly inthe box, is to prevent its escape through the joints, and at the upper endof the box. If the bran becomes soiled by blood or pus, that which is soiled maybe at any time removed, and replaced by fresh bran, without dis-turbing the limb. In the preceding pages I have already expressed my conviction,after a large experience in my own surgical wTards, that the plaster-of-Paris dressing was eminently serviceable in compound fractures of thetibia and fibula. In order to insure its best results the dressing mustbe applied before swelling has taken place, or, if this is already presentin any considerable degree, not until after the swelling has special instructions are needed as to the mode of applying the plaster Fig. Plaster-of-Paris dressing applied to a Compound Fracture of the Leg. dressings, after what has been said upon this subject in the precedingpages, further than to say that a window must be made for the escapeof pus, and that I generally find it comforting to the patient to swingthe limb after the plaster has hardened. 310 DISLOCATIONS GENEEAL COJSTSIDEEATIONS. Fracture of the Bones of the Foot. Fractures of the Tarsal Bones seldom require mechanical appliancesfor their support. They are, however, serious accidents, and occasion-ally result in the formation of abscesses, or in caries or necrosis of thebones. Absolute rest is the most important condition for their success-ful management. Fractures of the Metatarsal Bones, and of the Phalanges of theFeet are to be treated upon the same principles as fractures of the cor-responding bones in the hands. CHAPTER XVII. DISLOCATIONS. Section 1.—General and Nomenclature. Disloca
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