American practice of surgery : a complete system of the science and art of surgery . Fig. 94.—Crofts Splint. The Anteroposterior Splint Removed. (From Cheyne and Burghard.)The figure shows the trough-like splint thus formed. the first dressing decides the fate of the patient and determines the process ofwound-healing. The treatment of the wound is of far greater importance than thatof the fracture itself, more especially during the first two weeks. A combinationof most thorough antiseptic treatment of the former, immediate and perfect reduc-tion of the latter, and subsequently fixation of the


American practice of surgery : a complete system of the science and art of surgery . Fig. 94.—Crofts Splint. The Anteroposterior Splint Removed. (From Cheyne and Burghard.)The figure shows the trough-like splint thus formed. the first dressing decides the fate of the patient and determines the process ofwound-healing. The treatment of the wound is of far greater importance than thatof the fracture itself, more especially during the first two weeks. A combinationof most thorough antiseptic treatment of the former, immediate and perfect reduc-tion of the latter, and subsequently fixation of the fractured limb by some kind of plas-tic splint, yields the best results. Whenever there is any prospect of obtaining primary. FlG. 95. -Crofta Splint. Application of the Anterior and Posterior Portions. (From Cheyne andBurghard.) The illustration shows the interval down the side of the limb between the two portions. healing of the wound, the attempt to secure it should be most faithfully made. Inpunctured and gunshot fractures and when the wound is small and clean-cut. the sur-rounding skin for a distance of several inches should be shaved and thoroughly disin-fected by scrubbingwith hot waterand potash with alcohol, and lastly witha five-per-cent carbolic-acid or a 1: 1000 mercuric-chloride solution. If the bone pro-jects from the wound, the part protruding should be included in the disinfection FRACTURES. 203 before reduction is made, as otherwise infection may be caused by the fractures must never be explored, and the wound should not be enlarged unlessreduction is impossible without so doing or complications present themselves thatdemand it. Resection of the projecting fragment i


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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906