The principles of surgery . muscle, as the deltoid, remain weak and flaccid, its contractilitymay be aroused, and normal developmentfavored, by powerful and stimulant fric-tion, or by the application of electro-gal-vanism. Truth to tell, this last indication ofrestoration is in many cases the most dif-ficult of fulfilment. Do what we will, jointssometimes remain long weak and useless. Compound Dislocation.—This is dislo-cation with corresponding wound of theinteguments; and, through this wound, thedisplaced bone usually projects to a greateror less extent. The ankle is most liable tothis form
The principles of surgery . muscle, as the deltoid, remain weak and flaccid, its contractilitymay be aroused, and normal developmentfavored, by powerful and stimulant fric-tion, or by the application of electro-gal-vanism. Truth to tell, this last indication ofrestoration is in many cases the most dif-ficult of fulfilment. Do what we will, jointssometimes remain long weak and useless. Compound Dislocation.—This is dislo-cation with corresponding wound of theinteguments; and, through this wound, thedisplaced bone usually projects to a greateror less extent. The ankle is most liable tothis form of injury. The same general observations apply, asto compound fracture. There is generallyless bruising of the soft parts, less chanceof arterial laceration, and, consequently,less likelihood of amputation being prima-rily demanded. The risk by subsequentinflammation, however, is infinitely greater Compound dislocation of the astragalus. , r T . 1 • i -Sir a. cooper. than in fracture. It is a rare thing, when Fig. SUBLUXATION. 645 the joint does not inflame acutely and intensely; the cartilage and boneulcerating, much pus flowing away, and the system becoming involved inthe most severe general disturbance—at first intensely inflammatory, butsoon verging towards the asthenic type. On this account, secondaryamputation becomes not unfrequently expedient. It having been determined to attempt preservation of the limb,removal of foreign matter first engages our attention. It is not un-likely, that the raw end of the bone has been in contact with theground. Every particle of foreign matter must be carefully and gentlywiped away. Sand, in a boot or shoe, is sufficiently troublesome; inthe interior of an ankle joint, it must prove in the highest degree per-nicious. Then the parts are reduced; the same preference being givento abbreviation of the bone, over enlargement of the wound, as in com-pound fracture (p. 627). Indeed, abbreviation often seems of muchservice, especially
Size: 1188px × 2102px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
