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
When support is required for a joint, the splint should be fitted
on the sides, where the leather may have the rigidity of its width
rather than only that of its thickness to prevent bending.
=Leather Splint for the Hip.=—This joint is by far the most difficult
to fit. The hip splint should obtain a good grasp of its fixed point,
the pelvis, and a stiff bearing on the front of the thigh where
its pressure is to be exerted. There are many plans of procuring a
satisfactory fit; the following is one of the best.
First cut a pattern on a sheet of paper from which to shape the
leather. If possible the patient should stand while the pattern is
fitting. Take a sheet of paper large enough to reach round the body,
and long enough to extend from the waist to the leg below the knee.
Lay it against the diseased hip, carry its vertical margin a little
beyond the middle line in front towards the sound side, and the other
part round the body behind, till the front is reached on the sound
side. Feel for the anterior iliac spine, and mark with a pencil the
point midway between it and the pubis; from this draw one horizontal
line inwards to the border of the paper, and a second obliquely to
the perinæum. Then seek for the junction of the sacrum and iliac bone
behind, which corresponds pretty nearly to the point first found in
front; from this mark the gluteal fold. Next carry a line vertically
from the upper border of the sheet of paper to the great trochanter;
and lastly, mark the level of the pelvis. Lay the sheet on a table
and slit it with scissors along the lines marked, apply it a second
time to the body and bend the thigh part round the thigh, making
its anterior margin reach well to the inside of the limb, while
the posterior part should almost meet it from behind. The splint
should also reach downwards to the back of the knee. The paper is
then trimmed down to these dimensions. The hip part is next trimmed
so that it clears the buttock on the sound side and passes round to
the anterior iliac spine of that side. The pattern being complete,
cut a piece of sole-leather to correspond, arranging that the hair
or _short_ side of the leather will lie next the skin; bevel off the
outer edge all round, and soak the leather till thoroughly soft in
water, wipe it dry, and bandage it carefully first to the trunk and
next to the thigh. When it is set, superfluous and overlapping edges
must be marked before removal; lastly, the sides of the vertical
notch, between the hip and trochanter, are stitched together, and the
splint is covered with wash-leather.
[Illustration: Fig. 59.—Leather splint for the hip.]
When extension of the hip is required (see page 80), it can be
applied to the leg below the splint without lessening the support
that affords.
The accompanying figure, 59, is drawn from a splint fitted by Mr.
Heather Bigg on the plan just described.
Public-domain text, read in full here on John Shaqi.
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