Minor surgery, or, Hints on the every-day duties of the surgeon . ; tothe two extremities of these bands should besewed tapes of convenient dimensions, or paddedhandkerchiefs will do as well. The figure indi-cate so clearly the man-es- Hi. ner of disposing them,that it is unnecessary todwell upon them longerhere: the place, how-ever, they are to occupyupon the limb, will bespoken of by-and-by. When these simplebands are found insuffi-cient to fix the limbsolidly upon the board,or when it is necessary,in order to maintain thefracture reduced, to exertcontinued traction on thelimb, the following
Minor surgery, or, Hints on the every-day duties of the surgeon . ; tothe two extremities of these bands should besewed tapes of convenient dimensions, or paddedhandkerchiefs will do as well. The figure indi-cate so clearly the man-es- Hi. ner of disposing them,that it is unnecessary todwell upon them longerhere: the place, how-ever, they are to occupyupon the limb, will bespoken of by-and-by. When these simplebands are found insuffi-cient to fix the limbsolidly upon the board,or when it is necessary,in order to maintain thefracture reduced, to exertcontinued traction on thelimb, the following piecesmust be added. To theinferior extremity of theboard above spoken of, afoot-support is to beadapted, of the shape ofa ladder, as in the Figure137, by means of mor-tises, a a, pierced in theformer to receive it; it should be from ei»ht toten inches high, and form with the boa^d anangle of about eighty degrees. The object of this foot-board is to fix the heel-strap or ordinary gaiter, which, on one hand, em-braces accurately the instep, heel, and malleoli,. MINOR SURGERY. 177 and on the other, is attached by means of the twotapes, which terminate it, to one of the sides ofthe ladder, according to the direction desired tobe given to the limb. Thus, by means of the gaiter on one hand, andthe foot-frame and heel-strap on the other, theelongation of the limb may be produced, and theoverlapping of the factured ends effectually pre-vented. The extension being made, is maintainedby the heel-strap, and the counter-extension bythe garter, or band at the knee, without takinginto account the weight of the body, and the fix-ture of the limb upon the apparatus; while theheel-strap, by fixing the foot, prevents rotation,inwards or outwards, of the lower fragment. But this alone is not sufficient to restore thelimb to its natural form when the fragments aredisplaced in respect to the diameter of the bone;and although the shortening of the bone has beenprovided against, nothing has yet be
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Keywords: ., bo, bookcentury1800, bookdecade1840, booksubjectwoundsandinjuries
