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
27. To the first class belongs, almost exclusively, the first
bandage invented by Petit. It is formed by a long compress, placed
longitudinally behind the leg and foot, and secured by a roller
applied regularly on these parts. The two ends of the compress, being
reflected back, are then knotted together behind the leg so as to
extend the foot. This expedient is simple and ingenious, and would be
preferable to all others, were it not that, besides the charge of not
fulfilling the second general indication (16), it is further liable
to the following objections: 1st, the compression which it makes is
injudicious and ill directed, because it bears not only on the fleshy
portion of the leg, but also on the divided tendon, which being more
projecting and therefore more exposed, has its two ends pressed down
and separated: 2dly, in some cases, it does not maintain the extension
of the foot with sufficient certainty: 3dly, it does not prevent
displacement in a lateral direction.
28. To the second class belong, 1st, the celebrated slipper of Petit,
substituted by that author for his first bandage; this machine was
composed of a slipper fixed to the foot, of a knee-piece[37] secured
on the lower part of the thigh, and of a strap running from the one
and fastened to the other, to extend at pleasure the foot on the leg,
and to flex the leg on the thigh: 2dly, the bandage of Duchanoy, made
in imitation of the preceding apparatus, and consisting of a simple
sock surmounted by a roller, which running along the back part of the
leg, was fastened to another roller applied round the lower part of the
thigh. Besides the general objection of not at all fulfilling the third
indication (16), these processes are liable also to the following ones;
1st, they fatigue the toes by the constant pressure of the slipper and
the sock, as Monro experienced in his own person, to such an extent
that he was unable to support their use; 2dly, the slipper is quite too
complicated, and is therefore seldom at hand when wanted. The apparatus
of Duchanoy, does not possess sufficient solidity and steadiness.
[37] (_Genouilliere._) I believe this was a piece of apparatus made
of leather, somewhat similar to the top of a boot, and secured on
the limb just above the knee. TRANS.
29. In the third class are included, 1st, the first machine of Monro,
formed of a slipper similar to that of Petit, surmounted by a strap
of leather, which was to be fastened by a buckle to a kind of guetre
or spatterdash, fixed on the upper part of the leg; 2dly, the second
apparatus of the same author, subject, like the other, to several
inconveniences; 3dly, the simple apparatus of Schneider, who rested
satisfied with maintaining the extension of the foot, by a splint
placed anteriorly. Besides various other objections to them, these are
all chargeable, alike, with the radical fault, of not fulfilling the
second and third indications (16).
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