American practice of surgery : a complete system of the science and art of surgery . ion shows the interval down the side of the limb between the two portions. healing of the wound, the attempt to secure it should be most faithfully made. Inpunctured and gunshot fractures and when the wound is small and clean-cut. the sur-rounding skin for a distance of several inches should be shaved and thoroughly disin-fected by scrubbingwith hot waterand potash with alcohol, and lastly witha five-per-cent carbolic-acid or a 1: 1000 mercuric-chloride solution. If the bone pro-jects from the wound,
American practice of surgery : a complete system of the science and art of surgery . ion shows the interval down the side of the limb between the two portions. healing of the wound, the attempt to secure it should be most faithfully made. Inpunctured and gunshot fractures and when the wound is small and clean-cut. the sur-rounding skin for a distance of several inches should be shaved and thoroughly disin-fected by scrubbingwith hot waterand potash with alcohol, and lastly witha five-per-cent carbolic-acid or a 1: 1000 mercuric-chloride solution. If the bone pro-jects from the wound, the part protruding should be included in the disinfection FRACTURES. 203 before reduction is made, as otherwise infection may be caused by the fractures must never be explored, and the wound should not be enlarged unlessreduction is impossible without so doing or complications present themselves thatdemand it. Resection of the projecting fragment is seldom necessary, as reductioncan usually be effected under an anaesthetic. It is in cases of this kind and in gun-. :i^sPv Fig. 96.—Crofts Splint. Bandaging on the Lateral Portions. (From Cheyne and Burghard.)The surgeon holds the fracture in a good position and the foot at right angles, an assistant keeps thelateral portions in position at their upper end, while a second assistant applies the muslin bandage. shot fractures that, as a rule, the wound beneath the skin is aseptic. Suturing ofsuch wounds should be avoided. The wround, properly disinfected, is dressed by applying an antiseptic occlusiondressing. For this purpose nothing is more efficient than a non-irritating antisepticpowrder, composed of four parts of boric acid to one part of salicylic acid, and a com-press of aseptic absorbent cotton. Cotton is preferable to gauze, as it serves as amore efficient filter, and with the powder and blood is soon converted into a dry crustthat seals the wound hermetically and excludes it from the entrance of pathogeni
Size: 2865px × 872px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
