On the treatment of fractures of the limbs.

  • Gamgee, Sampson, 1828-1886.
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of fractures of the limbs. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    LECTURE IV. Complications of fracture, swelling.—Same principles of treatment appli- cable as in simple fractures, viz.—instant reduction, circular compres- sion, and immobilization, p. 77.—John Bell's protest against applying bandages to fractures, 78.—Fallacy of his reasoning, and illustrative cases, 79.—EflScacyof compression in promoting absorption, 80.—Reply to objections, 81 and 82.—What is meant by compression as against constriction, 83. Case X.—Fractui-e of the auatomical neck of the humeins, with great extravasation of blood.—Application of pasteboard apparatus; imme- , diate relief ; rapid absorption, p. 84. Case XI.—Fracture of right os calcis.—G-reat swelling of both feet.— Comparative experiment of effects of compression and evaporating lotion, pp. 85-88. Case XII.—Fracture of both bones of the leg, with eversion, great swell- ing and blebs.—Application of pasteboard apparatus.—Rapid subsi- dence of swelling.—Patient able to lift leg fourth day ; out of bed the ninth, pp. 12-91. Case XIII.—Fractui-e of fibula and inner malleolus ; immense swelling, large tense blebs.—Immediate application of pasteboard apparatus; instant relief.—Excellent recovery, pp. 91-93.—Review of a reviewer's strictures on compression as applied to acute inflammatory swelling, 93-95. Case XIV.—Compound comminuted fracture of the leg, from direct violence ;—great swelling,—violent spasm.—Immediate application of pasteboard apparatus.—Patientable to get up the eleventh day.—Perfect union, without any shoi'tening and very slight thickening, pp. 96-99. Case XV.—Comminuted fracture of thigh in a navvy from direct violence. —Great shortening and swelling.—Immediate application of pasteboard apparatus.—Patient walked on crutches the fourth day.—Uninterrupted recovery, pp. 99-101. Case XVI.—Supposed sprain of Imee.—Discovery of oblique fracture of femiu- the fourth day.—Great inflammatory swelling.—Application of pasteboard apparatus, with immediate relief.—Perfect recovery, pp. 102-104. LECTURE V. Commentary on Case xiv.—Compound and comminuted fracture of leg, with, gi-eat spasm and hemorrhage, p. 106.—Cause, physiology, and mode of overcoming spasm as a complication of fracture, pp. 107-109.— AiTest of bleeding, by compression, after reduction, 110.—As a rule the principle of immediate reduction becomes the more imperative as complications are superadded. 111.—Treatment of the wound in com- pound fracture, 112.—Evils of confinement to bed obviated by the immoveable apparatus, 113.—Examination of objections against im- moveable apparatus, 114.—Fixing of hip for fractui-ed femur, 115.— Misplaced reliance in starched bandages, 116.—John Bell wrong, De«a\dt right, on necessity for absolute rest, 117.—Lunb can be ex-