carefully
noted. So long as constitutional disturbance is slight, the foot appears
comfortable, is free from marked heat and tenderness, and pawing movements
are absent, and so long as the discharge on the pad appears non-purulent,
free from marked odour, and small in quantity, then this dressing may be
persisted in.
This treatment of open joint, preventive as it is of arthritis, is also
indicated in the case of open navicular bursa. In several instances we have
practised this treatment for the dressing of wounds implicating the bursae
of tendons and the capsules of joints. It is also spoken of favourably by
Mr. C.H. Flynn in the _American Veterinary Review_ for June, 1888, whose
treatment is as follows: 'Place the patient in a clean, well-ventilated,
and drained stable. Have all the litter removed, and insist on the stall
being kept clean. Either place the animal in slings, or tie the head so as
to prevent lying down. Clip the hair and cleanse the parts well. He prefers
the corrosive sublimate solution (1 in 1,000). Should the wound be of two
or more days' standing, inject the joint with the corrosive sublimate
solution. Now dry the parts with a clean towel and sprinkle the wound with
iodoform. Over this place a thick layer of absorbent cotton-wool, filled
with iodoform, bandage securely, and keep the patient on a moderate diet,
preserving the utmost quietude possible. Should the bandage remain in
position and the animal free from pain, leave the bandage and dressing in
place from five days to a week. Then change it, and should the discharge
be little, do not disturb it, but renew the iodoform and cotton dressing,
leaving it on for another week.'
Other treatments for the same condition are practised, in which the wound
is dusted with powdered iodoform, with potassium permanganate, or with
corrosive sublimate, or where the wound, instead of being dusted, has
the corrosive sublimate applied in the form of a plug. In each case the
preliminary irrigation with the corrosive sublimate solution is dispensed
with. This, however, should on no account be omitted. In our opinion it
constitutes the very essence of the rationality of the treatment.
_(b) Curative_.--It may happen, however, and often does, that this first
injection of an antiseptic is unsuccessful in preventing organismal
infection of the wound. In this case grave constitutional disturbance and
other untoward symptoms such as we have already described quickly mak
|