ON FRACTURES

第2章

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第2章

ON FRACTURES Hippocrates Translated by Fran

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ON FRACTURES
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  Thethigh-boneisconsolidatedinfortydays。

  20。Butthisalsoshouldbeknown,thatthethigh-boneiscurvedrathertotheoutsidethantotheinside,andratherforwardthanbackward;whennotproperlytreated,then,thedistortionsareinthesedirections;andtheboneisleastcoveredwithfleshatthesameparts,sothatthedistortioncannotbeconcealed。If,therefore,yoususpectanythingofthiskind,youshouldhaverecoursetothemechanicalcontrivancesrecommendedindistortionofthearm。Andafewturnsofthebandageshouldbebroughtroundbythehipandtheloins,sothatthegroinandthearticulationneartheperineummaybeincludedinthebandage;andmoreover,itisexpedientthattheextremitiesofthesplintsshouldnotdomischiefbybeingplacedonpartsnotcoveredwiththebandages。Thesplints,infact,shouldbecarefullykeptoffthenakedpartsatbothends;andthearrangementofthemshouldbesomanaged,asthattheymaynotbeplacedonthenaturalprotuberancesoftheboneattheknee-joint,noronthetendonwhichissituatedthere。

  21。Theswellingswhichariseintheham,atthefoot,orinanyotherpartfromthepressure,shouldbewellwrappedinunscouredandcardedwool,washedwithwineandoil,andanointedwithcerate,beforebandaging;andifthesplintsgivepaintheyshouldbeslackened。Youmaysoonerreducetheswellings,bylayingasidethesplints,andapplyingplentyofbandagestothem,beginningfrombelowandrollingupward;forthustheswellingswillbemostspeedilyreduced,andthehumorsbepropelledtothepartsabovetheformerbandages。Butthisformofbandagingmustnotbeusedunlesstherebedangerofvesicationsorblackeningintheswelling,andnothingofthekindoccursunlessthefracturebeboundtootight,orunlessthelimbbeallowedtohang,oritberubbedwiththehand,orsomeotherthingofanirritantnaturebeappliedtotheskin。

  22。Moreinjurythangoodresultsfromplacingbelowthethighacanalwhichdoesnotpassfartherdownthantheham,foritneitherpreventsthebodynorthelegfrombeingmovedwithoutthethigh。

  Anditcreatesuneasinessbybeingbroughtdowntotheham,andhasatendencytoproducewhatofallthingsshouldbeavoided,namely,flexionattheknee,forthiscompletelydisturbsthebandages;andwhenthethighandlegarebandaged,ifonebendthelimbattheknee,themusclesnecessarilyassumeanothershape,andthebrokenbonesarealsonecessarilymoved。Everyendeavorthenshouldbemadetokeepthehamextended。Butitappearstome,thatacanalwhichembracesthelimbfromthenatestothefootisofuse。Andmoreover,ashawlshouldbeputlooselyroundattheham,alongwiththecanal,aschildrenareswathedinbed;andthen,ifthethigh-bonegetsdisplacedeitherupwardortotheside,itcanbemoreeasilykeptinpositionbythismeansalongwiththecanal。Thecanalthenshouldbemadesoastoextendallalongthelimbornotusedatall。

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