. Railway surgery : a handbook on the management of injuries . Fig. 61.—Showing the freedom of motion attained in the case depicted in Fig. 60. After the parts have been thoroughl)7 washed with bi-chloride solution, and plenty of hot water has been used,a firm dressing consisting of many thicknesses of gauze INJURIES TO THE HAND AND FINGERS. 161 and a snug bandage should be applied. As a rule liga-tures will be unnecessary, except when the palmar archhas been injured; but if the Esmarch bandage has been lefton until the firm dressing is well applied high up over the. Fig. 62.—Result of Conserv
. Railway surgery : a handbook on the management of injuries . Fig. 61.—Showing the freedom of motion attained in the case depicted in Fig. 60. After the parts have been thoroughl)7 washed with bi-chloride solution, and plenty of hot water has been used,a firm dressing consisting of many thicknesses of gauze INJURIES TO THE HAND AND FINGERS. 161 and a snug bandage should be applied. As a rule liga-tures will be unnecessary, except when the palmar archhas been injured; but if the Esmarch bandage has been lefton until the firm dressing is well applied high up over the. Fig. 62.—Result of Conservatism in Injury to the Thumb. Resection of proximalphalanx. (Case of Dr. F. A. Palmer.) wrist, the consequent bleeding will not be enough to soil the dressing. This obviates the difficulty of searching for the small vessels in the torn tissues, and saves much time. Now a word as to the thumb. A hand without a thumb 11 162 RAILWAY SURGERY. is scarcely a hand at all, while a fmgerless palm with athumb is far better, for upon the latter the grasping powerof the hand depends. Therefore all efforts possible should
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