British medical journal . skin wound closed oneither side without tension. Gauze packs of this kind andthose applied to more superficial gashes are left untouchedfor four or five days and then removed. They are some-times lightly renewed for another day or so, but moreoften a simple surface dressing is alone applied at thisperiod. Fixaticn,In all cases the joint is kept at rest till healing is inprogress and pyrexia has been absent for about a week;gentle active movement is then encouraged. If plasterfixation has been used sufRcient plaj will have developedin ten or fourteen days to admit of t
British medical journal . skin wound closed oneither side without tension. Gauze packs of this kind andthose applied to more superficial gashes are left untouchedfor four or five days and then removed. They are some-times lightly renewed for another day or so, but moreoften a simple surface dressing is alone applied at thisperiod. Fixaticn,In all cases the joint is kept at rest till healing is inprogress and pyrexia has been absent for about a week;gentle active movement is then encouraged. If plasterfixation has been used sufRcient plaj will have developedin ten or fourteen days to admit of this, the splint beingkept on altogether for about three weeks. The Thomassknee splint, tiiough convenient for wound treatment whenlarge wounds in the thigh are present, does not fix thejoint satisfactorilj. nor is it easy to put the knee up in aposition of flexioN iu this apparatus. A simple back splintis often convenient, but in difficult cases it is not suffi-ciently controllable, nor does it admit access to the area at. Fig. 1 —Interriuited plaster-of-Paris knee splint. The ahimiuiuiu(or malleable iron) lirackela which form the two lateral interrup-tions are joined together above by an aixh pissing in front of Ihjthigh. The support of the back of the joint by fabric sliusis isalso shown. the back of the joint. An interrupted plaster-of-Parissplint (Fig. 1), in my experience, affords the only satis-factory method of controlling cases of excision, or thosein which there is serious injury of the articular two sections are formed by plaster bandages. Theupper section should extend to the level of the tuber ischiiabove, and the lov/er should include the foot in a com-fortable position. The interruptions are formed by twolaterally placed aluminium or malleable iron arches. Inaccordance with the position of the wounds a plaster backor side piece can be added. When such cannot be applied,as is common iu cases of general infection of the joint,posterior support at the
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
