A practical treatise on fractures and dislocations . n by circular turns ofthe plaster bandage above and below the portion to be left a plaster apparatus extends above the knee, and it is pro-posed to sling the leg from a cradle, the leg should be flexed slightlyupon the thigh, so that it may be swung horizontally. Any portionof a plaster splint exposed to the moisture of discharges or of waterused in dressing, should be carefully protected by oil silk and cottonwadding. In cases where not much swelling is anticipated, blanket is pre- 466 FKACTURES OF THE TIBIA AND FIBULA, fer
A practical treatise on fractures and dislocations . n by circular turns ofthe plaster bandage above and below the portion to be left a plaster apparatus extends above the knee, and it is pro-posed to sling the leg from a cradle, the leg should be flexed slightlyupon the thigh, so that it may be swung horizontally. Any portionof a plaster splint exposed to the moisture of discharges or of waterused in dressing, should be carefully protected by oil silk and cottonwadding. In cases where not much swelling is anticipated, blanket is pre- 466 FKACTURES OF THE TIBIA AND FIBULA, ferable to cotton wadding, as an elastic medium between the splint andskin, because it is of more even thickness and retains its place betterwhen the splint is removed, but cotton answers better when muchswelling is anticipated, as being more elastic. The accompanying illustration has also been made for me by John, and furnishes a faithful picture of one of the many similarcases now under treatment by this method at Bellevue Hospital. Fig. Plaster of Paris dressing, and suspension. There are a few cases in which a very much better position of thefragments can be secured by placing the patient under the influenceof an anaesthetic, and by applying the dressing during complete an-aesthesia. But the surgeon needs to be warned of two things in thisconnection : first, that just as much harm can be done to the soft partsby violent wrenching and pushing when he is insensible as when heis fully conscious; second, that while the patient is passing under theinfluence of an anaesthetic he is liable to violent muscular spasms,which may do serious injury. In such few cases as demand or warrant a resort to extension andcounter-extension, a double-inclined plane furnishes a convenient modefor its accomplishment; but it is only occasionally that, in fracturesof the leg, permanent extension and counter-extension can be em-ployed ; an assertion which, however much it may excite surprise
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
