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from protrusion of the bones; or afterwards; from pruritus; or
irritation; in the latter case you are immediately to unloose the
bandages; and having applied pitched cerate to the wound; bandage
the limb; placing the head of the roller upon the wound; and
proceeding otherwise as if there were no wound in the case; for thus
will the swelling be reduced as much as possible; and the wound will
suppurate most quickly; and the diseased parts will
separate; and when
it becomes clean the wound will most quickly heal。 Splints are not
to be applied to the place; nor is it to be bound tight。 Proceed
thus when no large bones exfoliate; but not in the latter case; for
then there is great suppuration; and the same treatment is not
applicable; but the parts require to be exposed to the air on
account of the abscesses。 In such cases where the bones protrude;
and whether reduced or not; bandaging is not befitting; but
distention
is to be practiced by means of rolls of cloth; made like those used
upon shackles; one of these is to be placed at the ankle; and the
other at the knee; they are to be flattened toward the leg; soft;
strong; and having rings; and rods made of cornel; and of a proper
length and thickness are to be adjusted to them; so as to keep the
parts distended; and straps; attached to both extremities; are to be
inserted into the rings; so that the extremities being fixed into
the rolls; may effect distention。 Treatment:…Pitched cerate; in a
hot state; the attitudes; position of the foot and hip; regulated
diet。 The bones which have protruded through the skin are to be
replaced the same day; or next; not on the fourth or fifth; but when
the swelling has subsided。 Reduction is to be performed with levers;
when the bone does not present any place upon which the lever can
rest; a portion of the part which prevents this is to be sawed off。
But the denuded parts will drop off; and the limb become shortened。
Part 42
Dislocations at the joints are to a greater and less extent。
Those that are to a less extent are the most easily reduced; those
that are to a greater extent occasion lesions of the bones; of the
ligaments; of the joints; of the fleshy parts; and of the attitudes。
The thigh and arm resemble one another very much in their
dislocations。
THE END