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
[13] (_Bandage a bandalettes._) This is a most convenient form
of bandage, in fractures of the upper or lower extremities. It
is composed of strips of soft linen or muslin, from two to three
inches wide, and of a length accommodated to the size of the
limb, on which they are to be applied. These strips are not sewed
together, but merely laid along side of each other, or rather
spread in such a way that their adjoining edges may overlap a
little. Being thus arranged, on the bed or mattress, where the
patient is to lie, the broken limb is placed on them, when the
surgeon, taking them, one by one, folds them round it, so as to
form a very perfect and neat covering. The number of these strips
must be regulated by the extent of the limb, or, at least, of that
portion of the limb, which they are intended to cover. TRANS.
Compresses wet with vegeto-mineral water, kept the apparatus constantly
moist.
On the day following, the dressing was renewed superficially; severe
pains in the part; abated towards evening; almost gone next day; low
diet continued.
Fourth day, pains returned; an incipient swelling around the joint;
more blood drawn.
Sixth day, considerably better; all the apparatus renewed; suppuration
beginning to appear.
Tenth day, a small abscess on the external condyl opened, and a
splinter extracted posteriorly.
Fifteenth day, the parts assume a flattering aspect; suppuration
favourable; fragments in contact; from this time the dressings are less
frequent.
Twentieth day, a bilious diathesis; edges of the wounds livid; loss of
appetite; nausea; vomiting; an emetic is administered.
Thirtieth day, unfavourable appearances gone; reunion commencing;
wounds visibly healing. Fortieth day, all external injuries healed,
except the one situated anteriorly; callus already very firm; gentle
motions performed with the limb, which is still surrounded by the
apparatus.
Forty-seventh day, the apparatus become useless; motions gradually
increased; articulation already tolerably free. Fifty-seventh day,
bilious diathesis returned; low diet and evacuants. Sixty-fifth day,
the patient discharged from the hospital; consolidation perfect; wounds
entirely healed; motions of extension still difficult to be performed
in their full extent, but are recovered in a great measure, and will
doubtless, in a short time, be completely re-established, provided the
same mode of treatment be continued.
MEMOIR VII.
ON THE LUXATION OF THE HUMERUS.
§ I.
GENERAL REMARKS ON THE JOINTS, AND ON THAT OF THE HUMERUS IN PARTICULAR.
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