On Bandaging, And Other Operations of Minor Surgery

Cover On Bandaging, And Other Operations of Minor Surgery
On Bandaging, And Other Operations of Minor Surgery
Fitzwilliam Sargent
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The bandage should be of the eighteen-tail kind, and when the bone has been well set, and the thigh well placed upon the pillow, it should not, without necessity, (which necessity will, in this method, seldom occur, ) be moved from it again until the fracture is united ; and this union will always be accom- plished in more or less time, in proportion as the limb shall have been more or less disturbed. " (Cooper's Surg. Diet. ) The chief and sufficient objections to this plan of treatment are, t...hat the means employed are insufficient to keep the ends of the fragments in apposition, and too insecure against sudden and accidental movements of the limb, or of the whole body ; and that the pressure exerted upon the tro- chanter for the space of many weeks is too great to be safely borne.
There are some cases, however, in which this position may be adopted as a temporary one ; these will be mentioned here- after.
Sir C. Bell recommended another method of treating this class of injuries in the flexed position of the thigh : The pa- tient lies upon his back, while the limb is supported upon a double inclined plane, one portion of which extends from the tuberosity of the ischium to the ham, and the other from the ham to the heel ; straight splints are confined to the outer and inner sides of the thigh.


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