A practical treatise on fractures and dislocations . most surgeons have testified to the difficulty of retaining it inplace when reduction has been fairly accomplished. Chelius saysthere commonly remains more or less deformity, and Malgaignesays that it is difficult and rare to cure it without deformity. Nevertheless, Desault (or, rather, his pupil Bichat, who has publishedhis lectures), who always speaks very confidently of his ability to retaineither broken or dislocated bonesin their places, says that he almost always obtained com-plete success with his appara-tus. It is remarkable, however
A practical treatise on fractures and dislocations . most surgeons have testified to the difficulty of retaining it inplace when reduction has been fairly accomplished. Chelius saysthere commonly remains more or less deformity, and Malgaignesays that it is difficult and rare to cure it without deformity. Nevertheless, Desault (or, rather, his pupil Bichat, who has publishedhis lectures), who always speaks very confidently of his ability to retaineither broken or dislocated bonesin their places, says that he almost always obtained com-plete success with his appara-tus. It is remarkable, however,that of the three examples fur-nished by Bichat to confirm thisstatement, all of which weretreated by Desault himself, onerecovered after a long time witha very perceptible protuber-ance in front of the sternum,one with a very slight protu-berance, and in the other theswelling was almost gone onthe twentieth day, and we areleft in doubt as to whether thereduction was any more com-plete than in either of the Kicherand and Guersant De-. Sir Astley Coopers apparatus for dislocated clavicle. succeeded no better withsaults Other surgeons have madesimilar claims for their ownforms of apparatus, but experience still continues to show that a com-plete retention of the dislocated bone is seldom to be expected. Sir Astley recommends an apparatus, the construction and appli-cation of which are illustrated by the accompanying sketch, the objectof which is to draw the shoulders back, and at the same time, by theaid of two pads or cushions in the axillae, to carry the shoulders out-wards. The dressing is then completed by placing the arm in a advises, however, that in some way direct pressure should be madeupon the projecting point of bone. Velpeau objects to any plan which will draw the shoulders back;but, on the contrary,.he thinks that the shoulders should be keptslightly forwards, so as to diminish the tendency of the sternal end ofthe clavicle to escap
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
