A practical treatise on fractures and dislocations . he olecranon process mosteasily and effectually secured in place. For this purpose a variety of ingenious plans have been devised, such as thecompress and figure-of-8 bandage of Duverney, without splints; or a similarbandage employed by Desault, with the addition of a long splint in front; thecircular and transverse bandages of Sir Astley Cooper, with lateral tapes todraw them together, to which also a splint was added; and many other modesnot varying essentially from those already described, but nearly all of which areliable to one serious
A practical treatise on fractures and dislocations . he olecranon process mosteasily and effectually secured in place. For this purpose a variety of ingenious plans have been devised, such as thecompress and figure-of-8 bandage of Duverney, without splints; or a similarbandage employed by Desault, with the addition of a long splint in front; thecircular and transverse bandages of Sir Astley Cooper, with lateral tapes todraw them together, to which also a splint was added; and many other modesnot varying essentially from those already described, but nearly all of which areliable to one serious objection, namely, that if they are applied with sufficientfirmness to hold upon the fragment, and Boyer says they ought to be drawnvery tight, they ligate the limb so completely as to interrupt its circulation,and expose the limb greatly to the hazards of swelling, ulceration, and evengangrene. How else is it possible to make the bandage effective upon a smallfragment of bone, scarcely larger than the tendon which envelops its upper end, Fig. Sir Astley Cockers method. and with no salient points against which the compress or the roller can makeadvantageous pressure? If, then, these accidents—swelling, ulceration, andgangrene—are not of frequent occurrence, it is only because the bandage hasnot been generally applied very tight, and while it has done no harm, it hasas plainly done no good. The dangers may be easily avoided, without relaxing the securityafforded by the compress and bandage, by a method which is very sim-ple, and the value of which I have already sufficiently determined by myown practice. The surgeon will prepare, extemporaneously always, forno single pattern will fit two arms, a splint, from a piece of thin, light 308 FRACTURES OF THE ULNA board. This must be long enough to reach from near the wrist-joint towithin three or four inches of the shoulder, and of a width nearly orquite equal to the widest part of the limb. Its width must be uniformthroughou
Size: 2856px × 875px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
