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
The Cavity of the Thigh is to be fill'd with a thick Bolster, of the length
of its bending; and three Bands four Fingers broad are to be provided, the
first being three Ells long, and the second four, as well as the third:
Then three Circumvolutions are to be made upon the Fracture with the first
Band, carrying it up with small Rollers, and it is to be stay'd round the
Body. The second Band is to make two Circumvolutions upon the Fracture, and
is to be brought down with small Rollers, which are terminated above the
Knee; or else they may be continu'd all along the Leg; it is also to be
pass'd under the Foot, and to be drawn up again upon the Leg: Then a
Bolster is to be apply'd to the lower part of the Thigh, being thicker at
bottom than at top, to render the Thigh everywhere even; and four
Longitudinal Bolsters are to be added, on which are laid Splints of the
same length and breadth, which are to be wrapt up with a single Bolster.
The third Band is to be roll'd upon these Splints, beginning at the bottom,
and ascending with Rollers. Then two large Paste-boards are to be us'd,
which may embrace the whole Dressing, without crossing one another, being
fasten'd with three Ribbands. Afterward a Pair of Pumps is to be put under
the Foot, and the Heel to be supported with a small Roll, the Thigh and Leg
being let into the Scarves, the inner of which is to extend to the Groin,
and the {291} outermost is to be somewhat longer: Two little Cushions are
also to be laid on each side below the Knee, and two others below the
Ankles, to fill up the Cavities. These Cushions or large Bolsters are to
lie between the Scarves; and a thick Bolster is to be laid upon the Leg all
along its length, as also on upon the Thigh. The Scarves are to be bound
with three Ribbands for the Legs, and as many for the Thighs; the Knots
being ty'd without, and on the side.
* * * * *
CHAP. XVI.
_Of the Fracture of the Knee-Pan._
The Knee-Pan is cleft or broken in divers pieces in its length, and
cross-wise: If it be broken cross-wise or obliquely, the two Pieces fly out
one from another; and on this occasion a strong Extension is to be made;
whilst the Surgeon at the same time thrusts back again the upper-part of
the Knee-Pan into its place.
If the Knee-Pan be fractur'd in its length, no Extension can be made,
because the pieces of the Bones remain in their place.
_The Dressing and Bandage._
If the Knee-Pan be broken cross-wise, a Band is to be provided three Ells
long, and two Fingers Broad, which may be roll'd with {292} one or two
Heads. The Application is to be begun above the Knee-Pan; the Figure of KY
is to be made in the Ham, and a Circumvolution under the Knee; then the
Band is to be continually carry'd up and down, till the Knee-Pan be
entirely cover'd.
Public-domain text, read in full here on John Shaqi.
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