. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . s. The fracture bandage or roller isan agent of good or evil, according to its use, and should be cau-tiously employed in the early stage of fracture ; should be alwaysused in the second dressing when preparing the limb for the starchbandage. When employed, it should consist of coarse linen ormuslin, and never be made of new cloth, but of cloth that hasb
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . s. The fracture bandage or roller isan agent of good or evil, according to its use, and should be cau-tiously employed in the early stage of fracture ; should be alwaysused in the second dressing when preparing the limb for the starchbandage. When employed, it should consist of coarse linen ormuslin, and never be made of new cloth, but of cloth that hasbeen washed to rid it of its starch. The bandage most com- 360 SCIENCE AND ART OF SURGERY. monly used is the ordinary single-headed roller, of a length andbreadth suitable to the affected limb to which it is to be object of the bandage is two-fold ; to afford uniform compres-sion of the limb, and the better to prevent swelling and spasm. Inits application, the rule is to begin at the remote part of the limb,and proceed upwards to some distance above the seat of thefracture, care being taken to apply it sufficiently tight to fulfillthe object for which it is designed, as is shown in Fig. 294, whenapplied to the leg. Fig. Everything being in readiness, the next duty of the surgeonis to reduce the fracture and bring the fragments to their naturalposition. This should always be accomplished as soon after theaccident as possible, as at that time the muscles will offer less resist-ance. The reduction may be accomplished by manipulation, pres-sure and counter-pressure ; or by extension and counter-extension,according to the part injured. The former often being all that willbe required in fractures of the upper extremity, jaw and nose, whilethe latter will be for all fractures of the thigh and leg, and attimes for the arm and forearm. The extension is usually madeupon that portion of the limb which is articulated with the lowerjfragment, and the counter-extension upon
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