FRACTURE. 
‘Hecell mo of fuch practice particularly 0 occurs when the bone- 
has been’ broken wit great v aaa 
of a plethoric 
nd the patient i is 
below the eset ie in etit neneont an in- 
which an an iets was as produce by 4 ) 
the aren tibjal artery, in the cafe of a broken 
’ With regard to the procefs by which fraGtares be it is 
not very di imilar from that by which wounds in foft parts 
are healed. The _ of the = furfaces of the bone, 
very foon after 
or ing at firft a xi- 
ble - as pea ea ha pene all the ean inex 
bility, and other qualities of original bone. Some perfon 
when they fee a yr limb raifed from the {plints, at i 
Grcone canal meet = patients in iho ics 
feems to ne of. formi ing callus, fo that fratures 
‘cannotunit 
able to es icone to te involved in obfeurity, and probably’ 
will never be well underftood. Itis not one kin ofc onftitution 
o Ww. n 
healthy, mufcular yn oe man’ broke the’ os’ act is 
where about the infértion’ of the deltoid’ mufcle ; but, not- 
withftanding every, " poffible attention, fuch fra€ture “never 
united, and was at length ‘converted into a kind of joint. 
This patient fubmitted to ‘havé the ends of thé fraGture cut 
.down to, ‘an airly fawn off, but,” ae the limb was'a 
fecond time carefully kept in fplints an ing, no union 
enfued. 
was a great indiffere rence to pai 
Weh alfo. met ‘with a very hypochondriaea patient, 8 
man about two or three and thirty years old, in whom 
fradture of the tibia and fibula did not, unite till ae a vély 
’ confiderable fpace of time, not lefs than four months. 
ere was likewife, at the latter end of we year’ ‘1808, in 
, Bartholomew’s hofpital, a woman; who a os 
brachii remained difunited for feveral months, thou arti- 
8 
wag now carefully examined, 
in order to fee whether” any caufe could be dite covered’ for 
the,want of union in the fraQture ; and, on making an inci- 
fion into thie os the “ape ‘fharp end of the lower portion 
e; p 
‘ties of whi 
e only — arculaty about this man 
, viet 0 
of the Bfoken bone was found’ confiderably drawn upward, 
and ftuck in e ft pie ance of the biceps mufcle. 
cumftance 
not, 
ever, is confider this hoa asa general one, w ‘hich pai 
the union of fractures ; for in moft inftances the ends of the 
bone a are a to touch each other fairly, and to be in the 
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ncouragemeént is 
in a proceeding eich is attended wit 
aft deal of pai 
danger, ane e , a8 any one may readily con- 
ceive, eats on what feveré fteps muft be taken in or- 
der to cut ie wn to, turn out, and faw off the extremities of 
fuch fragtures as intereft the arm, the thigh, or the leg. 
: Compound FraGures. 
We hav e already ftated that, in the language of furgery, 
a compound fraCture denotes one which is el aaa with a 
wound in the integuments, which wound i afion- 
ed bya protrufion of one of the fharp ends of ite ee ae bore, 
and of courfe eads down to, and communicates with, the 
> 
Pp 
2? 
The Gircumftance of there being this fort of injury doné 
to the fkin' makes a very material coal ce in the nature of 
the cafe, fince it increafes the dange is 
always a fource of alarm to enone of the greateft pro- 
feffional judgment and moft extenfive experience. It is not, 
vound which m n to attend a frac 
arm may cut, oF ria as - fame- 
ona e {kin and mufcles r lefe 
ai ant from the a ; bt provided fuch mifchief done 
the foft p = or 
oe pair ae of the 
anaes limb can, with » tafery | . the patient’ ie be: at- 
tempted sor, in other words, whether thé probable chance 
of deftru@ion, from the ature anid circumftances: of the a accl~ 
> aS to: ‘render r gan- 
Sry\ede 
: uence ; the’ ‘extremities ag ae bones forming a joint being 
aise or, as $ it W wer rey ¢ commintted ; bas the lg ments c con~ 
long at 
éxperience has sor ich are Lael upon 
every principle of ibis ra citcureie know 
