. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, atthe position of the compresses is reversed. 382 FRACTURES. Fractures of the Carpal Bones.—These fractures areusually compound or open fractures, and are so frequentlyassociated with extensive laceration of the arm and handthat operative measures have to be resorted to ; but if suchis not the case, they are dressed, when compound, with anant
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, atthe position of the compresses is reversed. 382 FRACTURES. Fractures of the Carpal Bones.—These fractures areusually compound or open fractures, and are so frequentlyassociated with extensive laceration of the arm and handthat operative measures have to be resorted to ; but if suchis not the case, they are dressed, when compound, with anantiseptic dressing, and the hand and forearm are sup-ported upon a well-padded palmar splint held in place bya roller-bandage; more or less impairment in the motionof the wrist is apt to follow these fractures. The dress-ings should be retained for three or four weeks, and aftertheir removal passive motion should be employed to over-come as far as possible the joint-stiffness resulting. Fractures of the Metacarpal Bones.—These fract-ures are often met with as the result of direct or indirectforce applied to the metacarpal bones. Treatment.—This consists in first reducing the de-formity, which is usually an angular one, the projection Fig. V Agnews splint for fracture of the metacarpal bones. of the angle being toward the back of the hand; this isreduced by pressure with the fingers, and the hand andforearm should then be placed upon a palmar splint () with a pad of oakum or cotton under the palm ; acompress of lint is next placed over the seat of fracture,and the hand and forearm are bound to the splint by theturns of a roller-bandage (Fig. 283). At the end of threeweeks union at the seat of fracture is usually quite firm,and the splint should be dispensed with at this time. Fractures of the Phalanges.—These may result fromdirect or indirect violence, and often present markeddeformity. Treatment.—This consists in reducing the displacementby extension and ma
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
