A Treatise on Fractures, Luxations, and Other Affections of the BonesDesault, P.-J. (Pierre-Joseph)
Science
A Treatise on Fractures, Luxations, and Other Affections of the Bones
Desault, P.-J. (Pierre-Joseph)
Dislocations; Fractures; Surgery
1st, The Glossocome, the bed of Hippocrates,[24] and other machines,
used by the ancients, to effect a reduction, in fractures of the os
femoris, and, at the same time, to maintain the reduction, by being
left on the limb.
[24] (_Le lit d’Hippocrate._) As many of the machines mentioned
here have probably never been seen in this country, and as there
is, perhaps, scarcely one of them used, at present, in any country,
I shall not consume the time of the reader by troubling him with
descriptions of them. TRANS.
2dly, Numerous machines, invented for the purpose of suspending a
weight intended to make extension. These have been differently varied
and modified, more by the imagination than the judgment. Engravings of
some of them are to be found in Scultet, Fabricius of Hilden, Pare, &c.
3dly, The machine of Bellocq, proposed to the Academy of Surgery, a
description of which is contained in their memoirs, and which possesses
an advantage not found in the others, namely, that of taking its point
of extension at the lower part of the leg.
4thly, The machine of Nook, surgeon at Norwich, improved by Aitkin, an
engraving of which is given by Bell.
5thly, A new Glossocome, published in the works of Manne, and a great
number of other machines, the ephemeral offspring of the genius of
their authors, the utility of which experience has seldom confirmed,
and which were even dead-born in the opinion of practitioners. I barely
mention these, because a circumstantial description of them would lead
me from my subject.
55. We may discover at a single glance the comparative merits of
these two classes of apparatus. Extension produced by simple means,
such as straps, splints, &c. (50), may at all times, and under all
circumstances, be had recourse to; because the means necessary for
making it may always and every where be found. Are we desirous, on
the other hand, of having recourse to machines (54)? These are seldom
at hand, and oftentimes not to be obtained: the expense attending the
purchase of them, prevents most surgeons from procuring them. They no
doubt possess the advantage of multiplying forces, and rendering them
more powerful: but, I have already said (51), that a gentle resistance,
if long continued, is sufficient to overcome at length the contraction
of the muscles, though at first extremely active and energetic.
Public-domain text, read in full here on John Shaqi.
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