. A practical treatise on fractures and dislocations. and should berepeatedly inspected during the first two or three days in order to detectany interference with the circulation. In the lack of plaster rollers the dressing can be made of anycoarse material cut in suitable strips and soaked in plaster cream. If it is desired to have a small portion of the limb exposed, as forthe dressing of a wound, a fenestra can be cut, and its edges protectedwith adhesive plaster, rubber tissue, or oiled silk. If a larger openingis required, the splint must be reinforced by a plaster splint along thepart th
. A practical treatise on fractures and dislocations. and should berepeatedly inspected during the first two or three days in order to detectany interference with the circulation. In the lack of plaster rollers the dressing can be made of anycoarse material cut in suitable strips and soaked in plaster cream. If it is desired to have a small portion of the limb exposed, as forthe dressing of a wound, a fenestra can be cut, and its edges protectedwith adhesive plaster, rubber tissue, or oiled silk. If a larger openingis required, the splint must be reinforced by a plaster splint along thepart that remains, or by one or two curved iron bands incorporated inthe dressing or, better, fastened to it by additional turns of a plasterroller after the main portion of the dressing has hardened. These aretermed fenestrated ^ or, if the opening includes the entire circumfer-ence, interrupted^ splints (Fig. 48). Ochsner recommends very highly a means devised by Croux for theprotection of the splint against the discharges in compound fractures. Fig. Fenestrated plaster dressing. It consists of a thick solution of India-rubber in chloroform mixedwith small pieces of lambs wool; this is poured in between the splintand the limb around the opening. Similar dressings can be made with silicate of soda or ])otash, starcli,dextrin, or glue. The silicate and dextrin are used by thoroughly satu-rating roller-bandages with the material and applying them in the samenianniM- as ])laster bandages. Tlu>y do not dry so rapidlv as plaster,but are lighter and cleaner and not so liable to crumble at the is fre((uently used for dressings of the hand ami edges of both silicate and plaster dressings can be advantairtvuslvprotected against crumbling by covering them with adhesive plaster. 100 FRACTURES. The removal of one of these dressings is a tedious and troublesometask ; it can best be done by cutting lengthwise with a short, stout-bladed knife, aided in the case
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
