The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.Le Clerc, M. (Charles Gabriel)
Science
The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.
Le Clerc, M. (Charles Gabriel)
Surgery -- Early works to 1800
It is necessary at first to lay round the Fracture a Bolster steept in some
proper Liquor, as Claret or _Oxycratum_; then three several Bands are to be
taken, three or four Fingers broad, and an Ell and a half long: The first
of these is to be laid upon the Fracture, round which are to be made three
very streight Circumvolutions; then it is to be carry'd up with small
Rollers to the top of the Arm, and stay'd round the Body. The second Band
being apply'd to the Fracture, on the side opposite to the first, two
Circumvolutions are to be made upon the Fracture; so that the same Band may
be brought down along the whole length of the Arm, making divers Rollers,
and at last stay'd below the Elbow, which, nevertheless, it must not cover.
Afterward our Longitudinal Bolsters must be laid upon the Fracture round
about the Arm, which are to be kept close with a third Band; it being of no
great Importance whether the Application of this third Band be begun at the
Top or at the Bottom; but it may be stay'd round the Body, or else beneath
the Elbow. The Arm ought also to be encompass'd with two thick pieces of
Paste-board made round at the ends, and of the length of the Arm; but they
must not cross one another. These Paste-boards are to be fasten'd with
three Ribbands, and the Arm is to be put into a Scarf made with a large
Napkin, which is to be first apply'd in the middle under the Arm-pit, the
Arm resting upon it, so that {286} the four ends may be rais'd up, and
fasten'd to the opposite Shoulder; but the Hand must lie higher than the
Elbow.
* * * * *
CHAP. XI.
_Of the Fracture of the Bone of the Elbow._
If both the Bones of the Elbow be broken, a stronger Extension is to be
made than if only one of 'em were so hurt; to which purpose a Servant is to
be appointed to grasp the Arm above the Elbow with both his Hands, and
another to hold it above the Wrist, whilst the Surgeon sets the Bones with
the Palms of both his Hands, till no unevenness be any longer felt in the
Part.
_The Dressing and Bandage_
Are the same with those in the Fracture of the Arm; but the Bands which are
carry'd upward are to be stay'd above the Elbow. If the Patient be desirous
to keep his Bed, it is requisite that his Arm be laid upon a Pillow, the
Elbow lying somewhat higher than the Hand.
* * * * *
{287}
CHAP. XII.
_Of the Fracture of the _Carpus_ or Wrist-Bone._
If the Bones of the _Carpus_, or those of the _Metacarpium_ be fractur'd, a
Servant must hold the Arm above the Wrist, and another the Fingers; whilst
the Operator sets the Bones in their place, so as no unevenness may appear
in the Part.
_The Dressing and Bandage._
Public-domain text, read in full here on John Shaqi.
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