. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. corg 50 Immobilization of fracture, by means of sutures, wire, ivorypins, nails, bone ferrules, screws, etc., cannot be relied upon suitable external splint is therefore needed. In applying any splint 364 POSTOPERATIVE TREATMENT. or retention device, the soft parts should be protected, especially nearand over the seat of injury, and in the neighborhood of the bony promi-nences, by cotton pads, or preferably
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. corg 50 Immobilization of fracture, by means of sutures, wire, ivorypins, nails, bone ferrules, screws, etc., cannot be relied upon suitable external splint is therefore needed. In applying any splint 364 POSTOPERATIVE TREATMENT. or retention device, the soft parts should be protected, especially nearand over the seat of injury, and in the neighborhood of the bony promi-nences, by cotton pads, or preferably sheet-wadding. Care shouldbe taken to avoid undue pressure, and a portion of the limb belowthe seat of the injury should always be left exposed to enable the surgeonto watch the condition of the circulation. In all cases in which extensivecontusions, edema, or ecchymoses exist, the dressings should be removedand the parts inspected frequently until all danger of strangulation,sloughing, or gangrene has passed. In all compound fractures, when the swelling and inflammation. Fig. 110.—Posterior View of Suspended Limb. have in a great measure disappeared, the limb should be placed in amore fixed or permanent dressing. The fenestrated plaster cast orwire splint, allowing free access to the wound and drainage openings,will be found most useful and hasten resolution by enforcing rest. To apply an encircling plaster cast to a member, the limb should beheld firmly in position by assistants. A thin layer of lint or lintine shouldfirst be evenly applied to the- part, after which several layers of sheet-wadding should be placed carefully around the limb. This is moreeasily applied if made into rollers. After the limb is evenly covered MODI R\ rREATMENT OV COMPOUND FRACTURES. 36S by this material, several rollers of crinolin impregnated with plaster-of Paris should be placed in warm water to which a teaspoonful of salt
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