. Confederate States medical & surgical journal . t importance; cross pieces ofwire, intended to strengthen the splint in a majority of cases,fall upon the knee or ankle joints. This can easily be reme-died by knocking them out of the way prior to bandaging thesnlint itself. The neglect of this precaution has, in one casewhich came under our notice, produced ulceration into theankle-joint. The second point has reference to the plane ofthe abdominal portion. All the rest of the splint has itsplane, in breadth, horizontal; but here we are necessitated toadapt it to the abdominal parietes by bend
. Confederate States medical & surgical journal . t importance; cross pieces ofwire, intended to strengthen the splint in a majority of cases,fall upon the knee or ankle joints. This can easily be reme-died by knocking them out of the way prior to bandaging thesnlint itself. The neglect of this precaution has, in one casewhich came under our notice, produced ulceration into theankle-joint. The second point has reference to the plane ofthe abdominal portion. All the rest of the splint has itsplane, in breadth, horizontal; but here we are necessitated toadapt it to the abdominal parietes by bending it downwards 72 CONFEDERATE STATES MEDICAL AND SlTRGICAL JOURNAL. SB9KBEfSSB929d ■i and outwards. Cotton batting of sufficient thickness, or fiveor six layers of cotton cloth, the breadth of the splint, isplaced along the whole anterior surface of the fractured limb,excepting in cases of compound fracture, with the wound infront, as above mentioned. An assistant now supports thelimb at the knee, making sufficient traction to adapt the limb. to the ficxures made in the splint, which, being an exact mouldof the sound limb, must necessarily prevent shortening. An-other supports the heel, keeping the great toe pointing up-wards. No side splints are necessary, except where there isgreat tendency to lateral displacement. The surgeon nowtakes a roller bandage in his hand, applies a few interruptedpieces along the limb, pinning them on the top, over thesplint, as a temporary support to the limb: one at the middleof the sole of the foot; a third below the knee, and a fourthand fifth at the lower and upper thirds of the thigh. Priorto adjusting, we have caused to be driven into the ceiling orrafter a staple, and through it we pass the loose end of thesupporting cord, and then attach it in the upper hole of theblock. It is hardly necessary to mention that this block issimply for convenience in elevating and depressing the limbas required under different circumstances. Sufficient cor
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