American practice of surgery : a complete system of the science and art of surgery . ing an even distribution of the plaster. to be doubtful, and more especially if the attempt involves danger to the pa-tients life, the question of amputation, as soon as shock has passed away,should be seriously considered. In these days of highly perfected prostheticappliances the loss of a foot or a leg is not so serious a deprivation as in oldentimes. In the decision of a question of this nature, the exercise of conserva-tism is most earnestly urged. Compound fractures of the tibia and fibula are usually a
American practice of surgery : a complete system of the science and art of surgery . ing an even distribution of the plaster. to be doubtful, and more especially if the attempt involves danger to the pa-tients life, the question of amputation, as soon as shock has passed away,should be seriously considered. In these days of highly perfected prostheticappliances the loss of a foot or a leg is not so serious a deprivation as in oldentimes. In the decision of a question of this nature, the exercise of conserva-tism is most earnestly urged. Compound fractures of the tibia and fibula are usually a source of great 202 AMERICAN PRACTICE OF SURGERY. anxiety, not only on account of their serious character, but also because Naturesefforts at repair do not seem to be as effective in injuries of the leg as in injur-ies of some other parts of the body. As regards the treatment of compoundfractures Morse very properly says: The modern antiseptic treatment must vary according to the nature of the woundand the manner in which it was inflicted. As a general rule, it may be stated that. 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
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