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
In the evening, wound painful; pulse raised; a copious blood-letting;
low diet. Next day, more blood taken away; antiphlogistic regimen,
which was continued for several days, till the symptoms were gone: no
troublesome accident occurred. Tenth day, the apparatus taken off;
the wound partly healed; the apparatus reapplied, and continued till
the twentieth day, when the perfect reunion of the parts rendered its
further use unnecessary. From this time the patient began to walk
on crutches. Thirty-sixth day, could walk well without his crutches.
At this period, a small abscess occurring in his heel, induced him
to remain in the Hotel-Dieu two weeks longer, when he was discharged
perfectly cured.
CASE II. M. Delp, leaping with some of his young companions, ruptured
the tendo Achillis, about two inches above the os calcis. Both standing
and walking became instantly impracticable: the patient falling down,
was taken up, carried home, and from thence to Paris, where he arrived
in the evening. Desault being immediately called to him, found him
affected with all the signs of a division of the tendon; such as, a
hollow between its divided ends, which was increased by the flexion
of the foot, diminished by its extension, &c. The usual apparatus was
immediately applied, and as the patient felt but little pain, only a
moderate blood-letting was prescribed. Next day, no alteration in the
treatment; antiphlogistic regimen; low diet continued for some days,
when the patient was permitted to return to his usual mode of living.
Ninth day, apparatus removed for the first time: a slight separation of
the ends of the tendon; and a wrinkle in the skin interposed between
them: a new application of the bandage, taking care to free the
integuments from wrinkles. Twelfth day, a relaxation of the rollers; a
third application of the bandage: every thing found in a good state;
but, the patient being, from sprightliness, too much inclined to exert
himself, a splint was applied anteriorly to prevent the extension of
the foot. Seventeenth day, a fourth application of the apparatus,
which was not moved again till the thirtieth. At this period, the
reunion was somewhat advanced: fortieth day, almost complete. Fiftieth
day, the patient was permitted to leave his bed, and take very gentle
exercise, which he continued to increase gradually, till the sixtieth
day, when he was discharged cured. Doubtless the tediousness of this
case was owing to the slight separation which existed for some time
between the fragments.
MEMOIR XVI.
ON THE FRACTURE OF THE OS CALCIS.
§ I.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account