A practical treatise on fractures and dislocations . ndstitched, or the piece may be removed entirely, and a new piece ofbandage drawn closely around the limb at this point. This may berepeated once or twice daily. If an opening is left by the roller,and no additional bandage is laid over it, the margins of the woundsoon become ©edematous and protrude, making an ugly-looking andill-conditioned sore. Plaster of Paris moulds, employed occasionally from a very earlyperiod, and more lately recommended by Hendriksz, Hubenthal, Keyl,and Dieffenbach, are not entitled to serious consideration. Heavy s


A practical treatise on fractures and dislocations . ndstitched, or the piece may be removed entirely, and a new piece ofbandage drawn closely around the limb at this point. This may berepeated once or twice daily. If an opening is left by the roller,and no additional bandage is laid over it, the margins of the woundsoon become ©edematous and protrude, making an ugly-looking andill-conditioned sore. Plaster of Paris moulds, employed occasionally from a very earlyperiod, and more lately recommended by Hendriksz, Hubenthal, Keyl,and Dieffenbach, are not entitled to serious consideration. Heavy stonecoffins, they might serve well enough the purposes of interment, butthey are wholly unsuited to the purposes of a splint. Plaster of Paris has, however, been of late employed in anotherform, and in relation to which our judgment must be much morefavorable. I allude to the so-called plaster of Paris bandages. whichwere first introduced to notice by Mathiesen and Yan der Loo, ofHolland, but the value of which has been more especially brought to5. Apparatus immobile ap-plied over a compound frac-ture. 58 GENERAL treatment of fractures. notice by Prof. Nicholas Pirogoff, of St. Petersburg, Surgeon-in-chiefat Sebastopol, during the Crimean war. At Bellevne, during the last two or three years, plaster of Parisbandages have been used quite extensively, and, after a careful ob-servation of the results in my own wards and in the wards of mycolleagues, I find no occasion to recall anything I have said of this, asone form of the immovable apparatus, in the preceding pages; thedangers have not been overestimated, yet I must say that in fracturesof the leg, whether simple or compound, when great care is exer-cised in the management of the case, it is in several respects superiorto any other form of dressing. I shall describe the cases of fractureof the leg to which it is applicable more particularly when speakingof these fractures. I am not at present, however, prepared to speakof it s


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