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
If the Knee-Pan be fractur'd in its length, that is to say, from the top to
the bottom, the Uniting-Band must be us'd, being two or three Ells long,
and two Fingers broad, perforated in the middle. It is to be at first
apply'd under the Knee, and one of the Balls is to be pass'd thro' the
Hole; it must also be well clos'd, and divers Circumvolutions are to be
made upon the Knee-Pan, so as it may be altogether cover'd.
* * * * *
CHAP. XVII.
_Of the Fracture of the Leg._
If the _Tibia_ be only broken, it pushes into the Inside; but if both Bones
be fractur'd they are sometimes separated on both sides, or else they pass
one upon another; and in this case the Leg is shorter than it ought to be.
If the _Perone_ be broken, it pushes to the outside.
If one Bone be only fractur'd, so strong an Extension is not requisite as
when they are both shatter'd, and it is to be drawn only on one side;
whereas the drawing ought to be equal on both sides when both Bones are
concern'd. {293} Thus whilst the Assistants are employ'd in drawing, the
Surgeon performs the Operation, by laying the ends of the Bones exactly
against one another; and they are known to be reduc'd when the great Toe
remains in its Natural Situation.
_The Dressing and Bandage._
A simple Bolster dipt in a convenient Liquor is at first apply'd, and three
Bands three Fingers broad are prepar'd, the first being two Ells long, the
second three, and the third three and a half. Three very streight
Circumvolutions are to be made upon the Fracture; the Band is also to be
carry'd up with Rollers, and stay'd above the Knee. The Application of the
second Band is to be begun upon the Fracture with two Circumvolutions; it
is to be brought down with Rollers, to pass under the Foot, afterward
carry'd up again, and stay'd where it is terminated. The Leg is to be
fill'd with a Bolster thicker at the bottom than at the top; and then are
to be laid on the four longitudinal Bolsters, two Fingers broad, and as
long as the Leg; to which are to be apply'd the Splints of a plyable and
thin Wood: These are wrapt up with a simple Bolster, and strengthen'd with
the third Band, which is apply'd indifferently either at the top or bottom,
opposite to the former; so that it is carry'd up or else down in making
Rollers, and stay'd at its end. The whole Contexture is to be encompass'd
with large Paste-boards made round at the Ends, which are not to cross one
another, {294} but must be streighter at the bottom than at the top, and
are to be ty'd with three Ribbands or pieces of Tape, beginning at the
middle; so that the Knots be ty'd on the outside. Afterward the Leg is to
be put into the Scarves, and the Heel is to be supported with a
Linnen-Roll, to which are fasten'd two Ribbands that are ty'd upon the
Scarves: These Rolls are made with a small piece of Cloth, which is
doubl'd, and roll'd up with the ends, in which is contain'd some Straw, and
Public-domain text, read in full here on John Shaqi.
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