A Treatise on Fractures, Luxations, and Other Affections of the Bones

23. Should a luxation backwards occur, the same process of reduction should be adopted, with this difference, that the extension ought to be made forward and outward; and the sa...

27. Hence it follows, that the operation we are considering, when skilfully performed, never gives rise to any dangerous or disagreeable affections. Experience has proved the tr...

On the two following days blood-letting was repeated, both on account of the active state of the pulse, and of a considerable swelling which took place in the joint. The apparat...

The patient now began to perform gentle motions with the limb, which she gradually increased, till about the fortieth day, when she was perfectly well, and free in all her motions.

1st, One assistant secures the pelvis, in the same manner as in fractures of the lower extremities; while another keeps the leg in a state of perfect extension on the thigh, and...

CASE II. Claudius Laurat, aged twenty-seven, fell as he was carrying a heavy burden. In his fall his chin struck with violence against a beam that lay in his way. In an instant...

25. _Third method._ It is to the celebrated Petit that we are indebted for that method of treating the division of the tendo Achillis, which consists merely in position maintain...

2dly, Numerous machines, invented for the purpose of suspending a weight intended to make extension. These have been differently varied and modified, more by the imagination tha...

On opening the body, the parts in the neighbourhood of the joint were evidently tumefied, and the capsule was stretched from above downwards. The head of the os femoris was situ...

The muscles being tense and in a state of violent contraction, drew the inferior fragments very forcibly upwards; these were finally, however, by means of well directed efforts,...

The mode of reduction being established, it was necessary, in the next place, to invent a bandage, calculated to retain the broken ends of the bone in contact. Desault thought i...

Beneath the acromion, is discovered a depression, always situated lower down, than that which accompanies the fracture of that apophysis. If one hand be placed on the head of th...

33. Certain signs, common to luxations of the humerus, fractures of its neck, and dislocations of the scapulary extremity of the clavicle, might here create some uncertainty, if...

3. Fractures of both bones of the fore-arm, may occur either at the ends, or in the middle of the limb. Frequent in the middle, and somewhat common below, they seldom occur in i...

107. The second class of curative means, includes different forms of apparatus simply retentive. Pare, Petit, and Heister, recommend, as most useful, the _Spica_ of the groin.[2...

29. Desault cautioned his pupils not to confound this last sign or symptom with a kind of noise, sometimes heard in the sheaths of the tendons of the extensor longus, extensor b...

CASE I. The case was a luxation forward, which was easily reduced. But the easier the reduction, the more difficult was it to retain the replaced parts. This was at length accom...

The patient being undressed, was placed on a bed nearly horizontal, on which had been previously spread the necessary pieces of apparatus, disposed in proper order. Desault then...

27. Having determined on the position, the operator proceeds to extension and counter-extension, which are to be made first in the direction of the limb as deformed or altered b...

CASE IV. Joseph Maugrin, a saddler, broke his thigh in the month of July, 1793. A surgeon being called to him, placed his limb in an old form of apparatus, which did not prevent...

57. To the bandage which we have just described, Desault added formerly a strip of linen, to be placed all along the posterior part of the arm, secured first at its upper end by...

21. But the luxation being oftentimes of long standing, presents very great difficulties. What means must then be employed? It is an established principle, that the force with w...

CASE IV. Francis Ricord, twenty-five years of age, was received in the month of July, 1790, into the Hotel-Dieu of Paris. On the preceding day, a piece of timber having fallen f...

60. If the luxation be consecutive, then the first extension made in the direction of the displaced bone, is intended to bring its head into the place where it was primitively l...

The following was then the state of the parts. A considerable swelling around the joint; a projection of the malleolus internus, with a depression underneath it; a preternatural...

Thirtieth day, unfavourable appearances gone; reunion commencing; wounds visibly healing. Fortieth day, all external injuries healed, except the one situated anteriorly; callus...

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