sac ie seo 
om 
the ities of death from am ee is by no means equal to to 
that arifing from fuch kind of fraure. 
« Every man knows that apparently defperate cafes are 
fometimes cured ; and that limbs fo thattered and wounded 
then 
re ted faG, but a fad Lies oe very little againft 
the common opinion ; becaufe every man of experience 7 
haeane that fuch efcapes ate ve is rare, 
mit of being made precedents, and that the major ity Br fach . 
Gree oe fail. 
‘ This confideration pre to amputation is of the 
more re alan pageant requires imme- 
diate determination ; 1 i 
ace to the pat cae s > diladva gies 
inde 
and a very fhort {pace 
of tim 
ed freque su makes all the difference between 
If thefe cafes in. ere would 
that time fuch cir mee 
ought neceflarily to — the furge 
without adding to the patient’s .hazar 
~ would be confiderable ; 3 the Tomer would ; not feem to be fo 
determination as he is frequently thought 
he neceflity, 
for both: aie this j is feldom the cafe; and the 
tunity having been negle@ed, or not embracedy we are very 
frequently denied another.., 
- ertion of a man’s judgment i 1S aa red, that may nei- 
ther rafhly and unneceffarily depri a patient 0 Ste a. limb, nor, 
circa a fale a and timidity, fuffer him to perifh 
endea o ‘preferve fuch limb. Some degree 
of addrefs i is bets ee upon fuch occafion, in order 
to convince the patient that what feems to be determi 
- upon haftily and wen preapisuon will not fafely admit of 
longer delay.” 
r, Pott next ap into fome obfervations relative to the 
treatment, udged prudent.to endeavour to fav 
the limb, and he aah that the firft-objec is ie reduc« 
tion of the ee He obferves, that if the bone he not 
protruded forth, the trouble of reducing and of placing the 
raGture ina good pofition will be much lefs than if the cafe 
re otherwife; and that, when the bone is. protruded, the 
. difficulty is always i in proportion to the comparative lize of 
the wound through which fuch bone has pafled.. I 
pound fracture of the leg or thigh, it is always the upper 
part o broke e which is thruft f £ the frac- 
ture be of the tranfverfe kid, and the. wound. large, a‘mo-. 
a degree ‘of extention will i in general eafily reduce.’ it 5 3 
2 a : long fharp pont, this point very often makes its way 
through: a wound only jut oi fneae to ) permit fach e 
tenfion. I 
» poli 
orifice to gird the bone tight, and makes alf that part of it 
‘underneath it. In thefe cir 
ere, oe the whole ex-. 
ined | 
ve . will admit, and thereby. to, produce as perfect an nd, 
pees ple ai injured. part of the 
tion, in order to make exte pafion,. ‘obliges the ae or | 
which is out of fuch wound prefs hard on the fkin of the leg 
cumftances, See: a Fee 
all attempts at reduction in this manner will be fou 
impracticable ; the more the leg is firetched out, ae more 
tightly will the bone be begirt by the wound, and the more 
will it sai on pee fkin ers h. 
cal author next cenfures the me- 
thod a tanflly reforte to in this cafe, of fawing off a 
piece of the protruded bone 
that, in many cafes, the former of thefe, under proper con- 
dud, will be found: fully fufficient, and eo when it fils the 
latter fhould always be made ufe of. e .pofition of the 
i which this author advifes to be eee is the bent 
n which he conceived the 
iene was lefs begirt by the w 
One, 
a i were mi and the 
WwW 
with the aid of a favourable pofition and proper extenfion, 
it ete neceffz make an nPae of the nd. 
This operation, according t 
t pain, beta or laceration; 
without the rifk of hemorrhage and with as little poking 
into the wound as poffible. iano: peas team of 
bone on the end of the oe fhould alfo moved. 
This part of = iti aa ought to.be executed on ‘great 
caution ; e foregoing furgeon. judicioully remarks, 
if the parts oman the tra€ture be violated, that 4 as, be 
torn, ced d, and fo di 
inflammation, .&c., it. ng. to the 
tient, and to the,eyent of the cafe, a ete fuch Sone be 
the neceflary confequence. of the fracture, or of the unn 
ceflary and awkward. manner of poking inte, and. difkur cm 
ing.the woun 
wn the denies ae. a. -compound Races, the indication 
a fim mple one 
an union as,poffible. . - 
fuch mufcles as have.the greateft power to impede and difs 
turb the coaptation , ig here equally proper... 
e _ yn eing. dilated, if necellary.s loofe. pieces, of 
pone removed, if there were any ; e fracture reduced 
and placed in ie -beft poffible = potion; ; ‘i next thing, as 
Mr. Pott remarks, isto drefs the wo 
We have already ftated,. that me wrincipal part of the ad- 
ditional danger attendant on a compound fraCture arifes from 
the circumftance of there being.a wound which. 
bene. Provided the fur- 
uniting. fuch wound. by the firft intentioa 
ceed in 
fend this incoels may, often be  ontanes)y vait deal of thé 
mave 
— is, asit were, allon a 
of the more mild na- 
inftead of’ dry lint and 
a pledget, which Mr, Pott eecaunetil to be applied ai 
