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
On the sides were placed the bolsters which were doubled at the ancle
to protect that part from the pressure it might otherwise sustain. The
splints were then applied along the external surfaces of the bolsters,
the edges of the junk-cloth having been previously folded round them,
in order to render their pressure the more close and steady. Along the
fore part of the leg was laid the largest of the bolsters, and the
whole was then secured by the four pieces of tape tied on the external
splint, with a degree of tightness sufficient to keep the fragments
immoveable.
A compress wet with vegeto-mineral water covered the foot, and was
secured by a roller, applied in such a manner, that its two ends,
crossing on the back of the foot, were fastened laterally to the two
splints.
The leg, being firmly fixed by this apparatus, and gently flexed by
means of a pillow placed under it, was protected by hoops from the
pressure of the bedcloaths. The fragments being now in complete
apposition irritated the parts no longer, in consequence of which the
pain ceased.
The patient being properly disposed in bed, remained tranquil and
easy throughout the remainder of the day. Diluting drinks and light
nourishment were prescribed.
Next day, no pain; patient composed; a slight swelling on the back of
the foot; the apparatus wet anew with vegeto-mineral water. Fourth day,
the bandages a little relaxed; the point of the foot turned somewhat
outwards; a new application of the apparatus. Seventh day, bilious
symptoms appear, loathing of food, nausea, and bitterness of the mouth.
Eighth day, tongue furred, inclination to vomit; loss of appetite; a
grain of tartar emetic given in solution; copious dejections; evidently
better: next day, appetite returned, tongue clean. Tenth day, a third
application of the apparatus, which had become too loose. Fifteenth
day, fresh bilious symptoms; further evacuations; success the same.
Twentieth day, consolidation evidently advancing; no deformity of
the limb; fourth application of the apparatus. Thirty-second day,
consolidation almost complete; the apparatus still kept on till the
forty-second day, when the patient was discharged perfectly cured.
Public-domain text, read in full here on John Shaqi.
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