OF THE REDUCTION, AND THE MEANS OF RETAINING IT.

79. The reduction is effected, by pushing the separated fragment in

the direction opposite to that of its displacement, by bringing it

to its natural level, and, in certain cases, by moving the thigh a

little outwards; it is retained by means of some compresses placed by

its sides, and secured by a roller directed obliquely from the sound

hip towards that part of the thigh corresponding to the fracture, and

representing a true spica bandage.

80. A fracture produced by a gun-shot wound, always renders large

incisions necessary, for the purpose of extracting foreign bodies, and

relaxing the aponeurosis of the fascia lata, which suffers too great a

degree of tension in this place, and might, if not dilated, produce a

very troublesome stricture. A fracture complicated by splinters, but

without an external wound, and produced by a body striking against the

part, seldom requires any particular apparatus, because, adhering as

yet to the periosteum, the separated portions of the os femoris may

unite again, either among themselves, or with the fragments.

A Treatise on Fractures, Luxations, and Other Affections of the Bones · 第 129 / 182 题