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on fractures-第13章

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callus; it were better that this should not take place when the arm is
extended; for this position will be a great impediment and little
advantage; if the arm be wholly bent; it will be more useful; but it
will be much more convenient to have the joint in the intermediate
position when it becomes ankylosed。 So much with regard to position。
  48。 In bandaging; the head of the first bandage should be placed
at the seat of the injury; whether it be a case of fracture; of
dislocation; or of diastasis (separation?); and the first turns should
be made there; and the bandages should be applied most firmly at
that place; and less so on either side。 The bandaging should
comprehend both the arm and the fore…arm; and on both should be to a
much greater extent than most physicians apply it; so that the
swelling may be expelled from the seat of the injury to either side。
And point of the fore…arm should be comprehended in the bandaging;
whether the injury be in that place or not; in order that the swelling
may not collect there。 In applying bandages; we must avoid as much
as possible accumulating many turns of the bandage at the bend of
the arm。 For the principal compression should be at the seat of the
injury; and the same rules are to be observed; and at the same
periods; with regard to compression and relaxation; as formerly
described respecting the treatment of broken bones; and the bandages
should be renewed every third day; and they should appear loose on the
third day; as in the other case。 And splints should be applied at
the proper time (for there is nothing unsuitable in them; whether
the bones be fractured or not; provided there is no fever); they
should be particularly loose; whether applied to the arm or the
forearm; but they must not be thick。 It is necessary that they
should be of unequal size; and that the one should ride over the
other; whenever from the flexion it is judged proper。 And the
application of the compresses should be regulated in the same manner
as has been stated with regard to the splints; and they should be
put on in a somewhat more bulky form at the seat of the injury。 The
periods are to be estimated from the inflammation; and from what has
been written on them above。




                           …THE END…

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