. A practical treatise on fractures and dislocations . and the wounds healed, it can-not be regarded as unsafe to adoptthis practice. The young surgeoncannot, however, be too much im-pressed with the danger of this modeof treatment, as a universal or gene-ral plan, employed without discrimi-nation. Its most devoted advocates,Suetin, Velpeau, Gamgee, and others, will not denv the necessity ofcaution in its use; and the numerous accounts of crooked limbs, ulcera-tions, and even of gangrene which have been attributed fairly, I think,to one or another of the forms of the immovable dressing, ought
. A practical treatise on fractures and dislocations . and the wounds healed, it can-not be regarded as unsafe to adoptthis practice. The young surgeoncannot, however, be too much im-pressed with the danger of this modeof treatment, as a universal or gene-ral plan, employed without discrimi-nation. Its most devoted advocates,Suetin, Velpeau, Gamgee, and others, will not denv the necessity ofcaution in its use; and the numerous accounts of crooked limbs, ulcera-tions, and even of gangrene which have been attributed fairly, I think,to one or another of the forms of the immovable dressing, ought to besufficient to place us fully upon our _ The majority of such cases as in my judgment may be safelyintrusted to a paste bandage, will also do well enough in almost anyform of dressing; and not a few of the examples of simple fracture ofthe leg without much if any displacement, which have come under ; Accidents resulting from the use of the immovable apparatus. Amer. Journ. , vol. xxv. p. 4G0, Feb. 1840; from Gazette des Immovable apparatus: applied to the leg.(From Fergusson.) FRACTURES OF THE TIBIA AND FIBULA. 471 my notice, I have treated by simply inclosing the leg neatly in apillow, tied against the limb with tapes, only that I have taken carethat the pillow shall be so fastened around the foot and }eg as tokeep the limb steady. At other times I have laid outside of the pillowthus arranged, two broad side splints, and bound these against thelimb, with the pillow interposed ; or I have in the summer used splintsmade of rolls of straw inclosed in pieces of cloth— straw junks. Inall these cases I have laid the leg upon its back, and I cannot say butthat the limbs have done well. If a double inclined plane is used, I prefer either a plain apparatus,such as we have already described as in use for fractures of the thigh,constructed of boards, joined together by hinges opposite the knee,and with an upright foot-board, upon which a carefully arrange
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