compound: Simple, when the end of a bone is merely ¢ 
as ihe small pieces of bone that will atonal sialon 
for whieh purpose, the opening, if too small, should be en 
a And this being done, we in general fiud that the bone 
are easily replaced, by relaxing all the muscles of the limb, as before - 
directed. Sometimes, however, a sharp point of a bone is so far 
pushed through the teguments, that it cannot be r sed by ordi- 
nary force. In this situation, we should either saw off the. end of 
the protruded bone, or enlarge the wound. When a 
bone is much protruded, it should be removed. In making incisions, 
we are to take care to avoid the arteries. : 
The splinters of bone, coagulated blood, and other extranec 
dies being removed, any artery that may be cut being secu 
the protruded bones replaced, a pledget of soft lint with o ont, 
should be laid over the wound, and the limb placed in a firm. plint, — 
in a relaxed posture. Ass it will be necessary to dress it frei setae 
in order to remove the matter as it collects, the limb, withthe ban- 
dages should be so placed that this may be done without -diguabe 
ing it. 
Inflammation is particularly to be guarded against, as Gos a high 
degree of this, mortification ensues, and also those extensive collec-_ “3 
tions of matter which sometime occur ; therefore, the 
before mentioned may be used, for promoting the f formation of 
and cooling the inflammation: ied 
In some cases when the humours of the system are “yitiated, ted f 
the discharge from the sore great, I have found the“ Anti-mercue 
rial Syrap,’ ce a ory ee oe the healing of the wounds. i 
ge 3 
DISLOCATION. 
A bone is:said to the dislocated, or luxated, when that cet? of it 
Acting joint is displaced. Dislocations may also he simple ai 
and compound, when the surrounding soft parts are injured. e 
.< For the most part luxations are produced by exte | viotence, 
from blows, twists and strains, in leaping, wrestling, « 
they are also produced by other causes, as @ morbid w sor re< 
in of the ligaments of the joint, which sometimes occur asthe 
nees of palsy, chronic rheumatism, &c. particularly in the 
oin - These last, however, being the effect of disease, will be 
of m another place. * 
» Dislocations a by external violence are chiefly the ob- 
jects of surgery. "Phe symptoms usually induced by these, are, in 
ability to nove the injure pain, tension and ‘eye in the 
part aflected; and im some cases , inflammation, spasms, and fever. — 
The first approach of swelling i in dislocation, is always of the 
flammatory kind. ‘This, however, should be distinguished 
-seeondary swelling, a pale, soft, indolent tumefaction, to whi 
Jecations are liable ; owing, [ suppose, to the lymphatic ves 
the limb being compressed by the end of the displaced: 
Tost fret ent in the shoulder and es iss 
