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
37. Whatever may be the advantages of this bandage over the others,
it must still be acknowledged to have its inconveniences. The rollers
become relaxed in a short time; their compression is less active;
the muscles, being less confined, contract more readily; hence the
necessity of frequently repeating the application of the apparatus, a
circumstance which is very troublesome, on account of the roller which
composes it, and covers the whole limb. The resistance of it even
when it is recently applied, is not always equal to the power of the
muscles, whence the most assiduous attention is necessary, to obtain
such a consolidation as to leave no trace of the fracture behind. Few
persons ever possessed, like Desault, the art of overlooking nothing
that might in any way contribute to the success of his treatment: from
this, no less than from the excellence of his processes, arose the
number of his cures. Let us confirm, by a few examples selected from
among a great many, the doctrine here laid down. The following cases
were collected by Julian and Bezard.
CASE I. Francis Leclert, of a sanguine temperament, fell on the 7th of
October, 1790, on his right knee, and produced a transverse fracture
of the rotula. He was not able to rise; he was carried home, where a
surgeon, on discovering the nature of his disease, advised him to be
taken to the Hotel-Dieu.
He was conveyed thither on the day following, and, in the interval, a
considerable swelling had occurred around the joint. The usual bandage
was employed; the pains ceased immediately after its application; a
copious blood-letting was directed, and a low diet was prescribed.
The whole apparatus was wet with vegeto-mineral water, two or three
times a day. On the next day some light food was allowed, and the
quantity increased by degrees, till in a short time the patient
returned to his usual regimen. Eighth day, the swelling being almost
gone, the bandage had become relaxed it was therefore reapplied. Every
day the inclined plain formed by the bolsters was carefully examined,
and put in order again as often as it became deranged.
Fifteenth day, a new application of the apparatus: twentieth day, an
evacuation in consequence of a bilious disposition. Nothing particular
occurred from this time till the completion of the cure, which took
place on the sixty-seventh day after the accident: no depression
existed at the place of the fracture: the motions were perfectly free;
these were aided, by daily exercising the knee joint for some time.
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