FRAG 
defign is only to fhew, that to entertain an idea that every 
mufcle, belonging to a Eran may be relaxed by bending a § 
jot, is abfurd in the ¢ 
»y NO means true that, j in sae) fracture, extenfion 
in fractures 0 
per piece of the bone, and om it may eel be pufhed into 
contaét sith the lower port 
o- exten fon nan 9 counter-extenfion are ne- 
ceflary ; and the Garon has only to put the limb on a hori- 
zontal a in order to bring the bone into its right pofi- 
tion. 
It is equally evident, that the rotatory derangement of a 
eres requires no fuch proceedings, fince ben Log may. be 
fet right by merely awa: ee lower fragment in a direction 
contrary to that ix ich t ie has been difpla ced. 
Extenfion and eognee <2 ation, then, can. only be of 
real ufe when the derangement happens in is direCtion of 
ie axis of a bone. 
ot an uncommon fuppofition, fre a fraGtured limb 
may be in fuch a ftate as not to admit o nies — 
fary for its being fet ; and when Hates fwe 
i in, affe m 
of time wiiich i is loft in 
relieving thefé — : ee confiderable ; fo con- 
fiderable on as Mr. Pott obferves, an even coaptation 
b : wand ual the . inflam- 
i capable of 
urged as an excufe for unneceffary 
lamenefs and deform 
The fa& is, no fradtore which is difplaced fhould ever be 
allowed to remain fo: moft powerful of thofe mufcles 
which produce. the rene ought, if Po ble, to is re- 
laxed, by placing the limb in a judicious pofture ;- in 
fuch po ofture the bones fhouild be fet, without one cea 
time ae loft he c eoapeation of t is, in n fact, 
parts. 
ent 
being pean made to fet the frac- 
ture, the bone wo wld be found already united in its de- 
formed pofition, ahd all change for the better. now as sel 
ticable.. . 
- he general cuftom of furgeons i in this country isto ae 
the power of extenfion-to the lower portion of the broken 
that o 
re of the cafe will allows 
franee, the ‘not t didingut ifhed fargeons ae Default 
i - Boyer, ‘make the requifite degree o: enfion and 
counter extention: 4n a manner very: different a that which . 
des 
makes them enter into violent and fpafmodic 
Hence, Default and nal advife the exten- 
fion to be made on the lower part of the limb, or on the 
one which articulates with the ra pice of the a 
while the counter-extenfio n is a be n the bone which - 
ir 
In regard to the choice ott thefe eels: we have to re- 
mark, that as, in this country, moft fractured limbs are 
aced in the bent poison, in order to be fet and united, 
the French mode of making extenfion and counter-extenfion 
nag oe becaufe the direction of the. bones, 
the fractured ay is, in fuch pofition, 
ce diferent bod that of the latte 
We fhall now fuppofe si dca perform and the ends 
of the fae placed together s fmooth a manner as 
offible. The next indication is cs aes then quietly in this 
pofition, cae wee is have acquired a one nion to each. 
other. 
complifhm: mufcles have a 
a tendenc ah : draw the ene of the fra€ture afunder 
a whet 
By 
oe 
rom pclae their pofition, it is not enough < ane the 
limb in fuch ae as tends to relax the mufcles, which 
ken bone. 
oofe, the weight ofthe 
mb w. adually occafion a materia alteration in it, unlefs 
care be sa to lay: the fracture on a bed which is not liable 
to yield much. ndeed, it is gr ay to be’ lamente bier 
give red. leg-‘or which? ou ght to .- ante of 
making. confides veffitance, without be eing har enough, 
howe @ any uneafinefs or'‘pain.: Hence, a mat. 
trefs, ro) ems preferable e sees? rey — r 
port deriv apparatus, which ufually confifts o 
piece of gene (ome eh = bandage, ‘pads and compel, 
and lo: ‘broad, pi 
of wood or'tin, called {plints 
tn in a of 
pelt to adliefive’ ‘plafters, which y were 
& applied, ...* «The adhefive ten rae ‘this ati 
