FREE BOOKS

Author's List




PREV.   NEXT  
|<   33   34   35   36   37   38   39   40   41   42   43   44   45   46   47   48   49   50   51   52   53   54   55   56   57  
58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   >>   >|  
to certain objections--for example, if applied immediately after the accident they are apt to become too tight if swelling occurs; and if applied while swelling is still present, they become slack when this subsides, so that displacement is liable to occur. When it is desired to enclose the limb in a plaster case, coarse muslin bandages, 3 yards long, and charged with the finest quality of thoroughly dried plaster of Paris, are employed. The "acetic plaster bandages" sold in the shops set most quickly and firmly. Boracic lint or a loose stocking is applied next the skin, and the bony prominences are specially padded. The plaster bandage is then placed in cold water till air-bubbles cease to escape, by which time it is thoroughly saturated, and, after the excess of water is squeezed out, is applied in the usual way from below upward. From two to four plies of the bandage are required. In the course of half an hour the plaster should be thoroughly set. To facilitate the removal of a plaster case the limb should be immersed for a short time in tepid water. A convenient and efficient splint is made by moulding two pieces of poroplastic felt to the sides of the limb, and fixing them in position with an elastic webbing bandage; this apparatus can be easily removed for the daily massage. _Padding_ is an essential adjunct to all forms of splints. The whole part enclosed in the splint must be covered with a thick layer of soft and elastic material, such as wool from which the fat has not been removed. All hollows should be filled up, and all bony projections specially protected by rings of wadding so arranged as to take the pressure off the prominent point and distribute it on the surrounding parts. Opposing skin surfaces must always be separated by a layer of wool or boracic lint. A bandage should never be applied to the limb underneath the splints and pads, as congestion or even gangrene may be induced thereby. #Operative Treatment of Simple Fractures.#--Operation in simple fracture is specially called for (1) in fracture into or near a joint where a permanently displaced fragment will cause locking of the joint; (2) when fragments are drawn apart, as in fractures of the patella or olecranon; (3) when displacement, especially shortening, cannot be remedied by other means; (4) when complications are present, such as a torn nerve-trunk or a main artery; (5) when non-union is to be feared, as in certain cases of fracture
PREV.   NEXT  
|<   33   34   35   36   37   38   39   40   41   42   43   44   45   46   47   48   49   50   51   52   53   54   55   56   57  
58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   >>   >|  



Top keywords:

plaster

 

applied

 

bandage

 

fracture

 

specially

 

splints

 

splint

 

elastic

 
removed
 

displacement


present

 

swelling

 

bandages

 
Opposing
 

surfaces

 
surrounding
 
distribute
 
prominent
 

separated

 
gangrene

induced

 

congestion

 

boracic

 

underneath

 

pressure

 

immediately

 

charged

 

material

 

covered

 
accident

protected
 
wadding
 
arranged
 

projections

 

hollows

 

filled

 
Treatment
 
remedied
 
shortening
 

patella


olecranon
 

complications

 

feared

 

artery

 

fractures

 

called

 

objections

 

simple

 

Simple

 

Fractures