A practical treatise on fractures and dislocations . may omit tonotice that as the swelling has subsided it hasbecome loose. Portions of the limb may vesi-cate, ulcerate, or even slough, without the knowl-edge of the surgeon. If, however, the bandagesare frequently opened, and all the proper pre-cautions are taken, it is possible that these acci-dents may also be avoided; but unfortunatelyexperience has shown that they have not beenavoided in too many instances. The cases, then, to which this apparatus seemsto be especially adapted, are a few examples oftransverse or serrated fractures in whic
A practical treatise on fractures and dislocations . may omit tonotice that as the swelling has subsided it hasbecome loose. Portions of the limb may vesi-cate, ulcerate, or even slough, without the knowl-edge of the surgeon. If, however, the bandagesare frequently opened, and all the proper pre-cautions are taken, it is possible that these acci-dents may also be avoided; but unfortunatelyexperience has shown that they have not beenavoided in too many instances. The cases, then, to which this apparatus seemsto be especially adapted, are a few examples oftransverse or serrated fractures in which thebones have not become displaced, and in whichlittle or no swelling is anticipated; and certainfractures which were originally more complicated,but in which a partial union, and the subsidenceof the inflammation, have reduced them to amore simple condition; and especially is it adapted to cases of delayedunion. If now the dressings are applied carefully, the bandage beingonly moderately tight; and a portion of the extremity of the limb is left. Apparatus immobileapplied over a compoundfracture. 70 GENERAL TREATMENT OF FRACTURES. uncovered so that we may observe constantly its condition, and at properintervals the apparatus is opened completely, in order that we may sub-ject the whole limb to a thorough examination; in such cases as I havenow indicated, and with such precautions, I admit that the apparatusimmobile constitutes an invaluable surgical appliance, and one of whichno surgeon can well afford to be deprived. I have also met with examples of compound fractures in which it hasseemed proper to apply this dressing; and especially when a sufficienttime had elapsed to render it probable that there would be no suddenaccession of swelling in the limb. In such cases I have preferred gener-ally to lay the several turns of the roller directly over the suppuratingwound in the same manner as if no wound existed, and to make a valvu-lar opening, or window, with the scissors, on t
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