A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . to be treated by antiseptic dressingsto prevent suppuration, and possibly by applications, such as chloralin solution or ointment (gr. x to 3j), nitrate of silver and bismuthsubnitrate. The inflammatory symptoms at the seat of injury in closed fracturesusually need no treatment. Correct apposition and prevention of mo-tion are the essential factors. The blebs that sometimes form on thesurface may be let alone, unless they are la
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . to be treated by antiseptic dressingsto prevent suppuration, and possibly by applications, such as chloralin solution or ointment (gr. x to 3j), nitrate of silver and bismuthsubnitrate. The inflammatory symptoms at the seat of injury in closed fracturesusually need no treatment. Correct apposition and prevention of mo-tion are the essential factors. The blebs that sometimes form on thesurface may be let alone, unless they are large; then they may bepunctured with a sterile needle to allow the bloody or straw coloredserum to escape. Wrapping the limb in cloths saturated with leadwater and laudanum, before applying the splints, is improper. Suchmeasures do no good, and the dressings, acting as poultices, may causeblebs to arise which otherwise would not have appeared. Muscularspasm about fractures is best combated by morphia given by the mouthor hypodermically, traction apparatus or section of the tendons of thedisplacing muscles. Tenotomy is not usually demanded. It is valu- Fig. Encasement with gypsum dressing for fracture of leg. (Stimson. ) able, however, when the calf muscles cause displacement of the frag-ments in fractures of the leg. Retention of urine requiring cathe-terization is not infrequent after fracture of the thigh. Abscesses,traumatic fever, delirium, tetanus, erysipelas and other complicationsmust be treated on general principles. Gangrene due to arterial rup-ture or thrombosis simultaneous with the fracture occurs at times; itmay also follow constrictive pressure from excessive inflammatoryswelling beneath the skin and fascia. When the last condition isfeared, free cutaneous and fascial incisions, as previously described,will relieve the tension by allowing gaping, and thus often avert thecalamity. Injudicious bandaging has often caused gangrene. In gan-grene from any of these
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