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
16. Is it to be wondered at then that a perfect cure of fractures of
the fore-arm has been regarded as a thing of so much difficulty, and
that most authors should have advised practitioners, as a thing of
prudence, to warn the patient of its being impracticable to cure him,
without the loss of the motions of pronation and supination? Thus, in
like manner, it was formerly declared, that a constant deformity was
the necessary consequence of fractures of the clavicle.
17. Petit first conceived, that he discovered, in the very means
destined to prevent the displacement, the cause of its being continued,
and that, in order to be effective, the bandage ought to do constantly
what the hands of the surgeon do at the time of reduction (13); that
is, it ought to oppose to the unremitting action of the pronators,
a resistance equally unremitting, by pressing the muscles into the
interstice between the bones. But, after having discovered the end to
be attained, he accomplished it only in an imperfect manner. For by
first applying a roller immediately round the fore-arm, he reproduced,
in part, the very inconveniences and disadvantages he wished to
prevent, by placing anteriorly and posteriorly two long and thick
graduated compresses, intended to keep the bones asunder, by forcing
the muscles between them.
18. Duverney, more judicious, proposed to place the graduated
compresses of Petit on two circular compresses, previously applied
round the fore-arm. But what availed these circular compresses? If
they be drawn tight, will they not produce that approximation of the
bones which the surgeon wishes to avoid? And if they be not tight, they
will, in consequence of their loose and pliable state, form troublesome
and inconvenient wrinkles, without being productive of any good to
counterbalance this inconvenience.
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