. The principles of surgery . acture with Luxation. This is a rare complication of injuries ; but sometimes occurs. Asat the shoulder; the head of the humerus being displaced into theaxilla, while fracture occurs at the neck of the bone. In treatment,the dislocation should first be reduced, if possible, by coaptating mani-pulation ; and then the fracture may be managed in the ordinary splints may be arranged on the broken limb, so as to restoreits continuity in great measure, and permit ordinary extension to beemployed against the dislocation ; of course, greatly increasing thech
. The principles of surgery . acture with Luxation. This is a rare complication of injuries ; but sometimes occurs. Asat the shoulder; the head of the humerus being displaced into theaxilla, while fracture occurs at the neck of the bone. In treatment,the dislocation should first be reduced, if possible, by coaptating mani-pulation ; and then the fracture may be managed in the ordinary splints may be arranged on the broken limb, so as to restoreits continuity in great measure, and permit ordinary extension to beemployed against the dislocation ; of course, greatly increasing thechance of success. But, if reduction fail, then the fracture must beattended to ; and, when it has become consolidated, it is possible thatattempts to reduce the dislocation in the usual way may succeed. Compound Fracture. The wound which renders a fracture compound, may be made atonce by the fracturing violence ; or, subsequently to the fracture, byone or other of the sharp fragments protruding through the skin ; or, Fig. at a more remote period, by sloughing or ulceration of the superimposedsoft parts. The most ordinary examples are those effected by the firsttwo causes. If inflammation be wholly averted, the wound closes at once; andreparation of the fracture advances in the same way as in the simpleform of injury. But when inflammation has become established—asit is certain to be in almost all the cases of severity—the work of repa-ration is altogether delayed, until inflammation shall have abated. The Fig. 230. Compound and comminuted fracture of the leg. COMPOUND FRACTURE. 665 union, then, is by the second intention, as in flesh wounds. The breachin the soft parts granulates and contracts, discharge gradually diminish-ing. And at the same time, the bone and textures around furnishplastic matter, which, becoming organized and ossified, effects reparationof the fracture ; more slowly, and usually less efficiently, than when noinflammation has occurred ; yet well eno
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