A system of surgery / Benjamin Bell . and it is general-ly well known, that a free incifed woundheals more readily than a fmall punc-tured one. It is the fkin only which, inmoft cafes, we have to cut here : Buteven where the bone cannot be eafily re-duced without carrying the incifion in-to Plate xx^m. Sect. XV. Of Compound FraBures. 149 to the fubftance of the contiguous muf-cles, we mould not hefitate in advifingit: Only, in this cafe, the opening fhouldbe made as much as poflible in the di-rection of the fibres of the mufcles. The fplinters of bone, coagulatedblood, and other extraneous bod
A system of surgery / Benjamin Bell . and it is general-ly well known, that a free incifed woundheals more readily than a fmall punc-tured one. It is the fkin only which, inmoft cafes, we have to cut here : Buteven where the bone cannot be eafily re-duced without carrying the incifion in-to Plate xx^m. Sect. XV. Of Compound FraBures. 149 to the fubftance of the contiguous muf-cles, we mould not hefitate in advifingit: Only, in this cafe, the opening fhouldbe made as much as poflible in the di-rection of the fibres of the mufcles. The fplinters of bone, coagulatedblood, and other extraneous bodies be-ing removed, any artery that may be cutbeing fecured with a ligature, and theprotruded portion of bone replaced, thefracture is, in other refpects, to be redu-ced in the manner we have advifed whenfpeaking of fimple fractures; that is, byrelaxing the mufcles of the limb, and ex-tending the bones no more than is alto-gether neceflary. This being done,, apledgit of foft lint, fpread with any emol-lient ointment, mould be laid over thewound, when the limb mould be placedupon a firm fplint, and Hill kept in a re-laxed poflure. As it is of much import-ance that the wound be regularly drefledwithout moving the limb, it fhould, ifpoifible, be fo placed, that this can bedone \ and with the fame
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