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
CASE VII. A man, having fractured his thigh by a fall, called in a
surgeon, who, reducing the fracture, and retaining it by this bandage,
examined the state of the parts every day, and finding no derangement
of the splints, neglected attending to the rollers destined for making
extension. Seventh day, a shortening of two inches; a new reduction,
and a new application of the bandage; the same want of attention as
before; the same shortening at the expiration of a few days; the means
were then rejected, and declared, in a publication, to be insufficient.
How often do processes and modes of practice of great utility, by
being transmitted from person to person, or from book to book, lose at
length, that credit they are entitled to, and that approbation which
they ought to command!
114. Serious accidents so seldom accompany fractures of the neck of
the os femoris, that there is no necessity of employing numerous
means to remove them. A diet somewhat strict for a few days, diluting
drinks, and then a return to the patient’s usual mode of living, unless
something besides the fracture should forbid it, constituted the simple
treatment pursued by Desault in common cases. Any varieties resulting
from accidental circumstances, must fall under the general treatment of
fractures.
115. The period necessary for the healing of fractures of the neck
of the os femoris, is represented by most authors as being longer
than the term required in other similar affections. We read, in the
Memoirs of the Academy of Surgery, that oftentimes the cure is not
complete in less than three or four months. The reason of this will be
evident, if we consider, on the one hand, that the reunion is always
more tedious, in proportion as the contact of the fragments is more
frequently interrupted: and, on the other, that, in the means formerly
employed, there was nothing opposed to the powers of displacement.
Hence it follows, that, if skilfully treated, this fracture ought to
follow nearly the same course with others. It is this that confirmed
the superior excellence of the practice of Desault, who almost always
obtained a cure, all other things being equal, such as age, strength of
constitution, &c. in the space of forty-five or fifty-five days.
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