The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatusHill, Berkeley
Science
The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus
Hill, Berkeley
Bandages and bandaging; Dislocations -- Treatment; Fractures -- Treatment; Surgery, Minor
=Fracture of the Fibula.=—_Dupuytren’s Splint._—When the fibula only
is broken, it may be treated in several ways; this, however, is the
common plan:—
_Apparatus._—1. Straight wooden splint.
2. Pad and wool.
3. A roller.
Step 1. The splint should be about 3 inches broad, and long enough
to reach from the head of the tibia to 4 inches beyond the sole of
the foot. A notch 1½ or 2 inches deep is generally cut at the lower
end of the splint to catch the bandage in. The splint is then padded,
care being taken that the padding is sufficiently thick to prevent
galling at the upper end against the inner condyle of the tibia, and
that it becomes thicker as it descends along the leg, for that to
rest easily against the splint; lastly, the pad should end in a thick
boss or projection opposite the internal malleolus, beyond which it
should not reach, lest it interfere with the rotation and adduction
of the foot inwards.
Step 2. The splint, when thus prepared, is applied along the inner
side of the leg, taking care in doing this that the internal
malleolus is against the middle of the splint, and not allowed by the
assistant to slip towards the anterior or posterior border.
Step 3. A roller is then carried round the limb and splint, beginning
below the knee and continuing in simple spirals for three or four
turns, when it is fastened and cut off.
Step 4. A light layer of wool is wrapped round the outside of the
ankle, heel, and dorsum of the foot. Then a roller, beginning at
the splint, passes outwards in front of the ankle over the external
malleolus, behind the heel and the splint; then over the dorsum to
the outer margin of the foot, next under the sole through the notch
of the splint to the front of the ankle joint again, where it repeats
the same course three or four times. Each turn must be tightly
applied and made to draw the foot well inwards to the splint, and in
doing so to tilt outwards the broken part of the fibula (see fig. 40).
This splint is cumbersome, hence after two or three weeks, should
be replaced by a light starch or gum casing for the foot and leg,
leaving the knee free.
[Illustration: Fig. 40.—Dupuytren’s Splint for fracture of the
Fibula.]
=Fractures of the Tibia= with or without the fibula, and fractures at
the ankle joint.
These fractures are often from their obliquity difficult to keep in
good position; in such cases _McIntyre’s Splint_ is very generally
used in the early part of the treatment. For this splint the
following _apparatus_ is required:—
1. McIntyre’s splint.
2. Pads for the double incline plane and foot-piece.
3. Sock of flannel for the foot.
4. Rollers, 3 inches wide.
5. Wool, pins, needle and thread, strapping plaster.
6_a_. A sling-cradle, or
6_b_. Board, block, gimlet, screws and screw-driver.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account