FRACTURE, 
he moft eminent furgeons.in London now employ {trips of 
adhefive platter, with which they clofe the wound, keep its 
as may feem n proper, an whatever pledget sf pat oint- 
ment the practitioner may choofe 
t muft be obvious, however, that ey sa wound of a 
ound fracture is sy uced inar ough, v ent manner, 
the bone, union b eG ft i nten- 
attempt fails more often than it faeces yet the practice 
is not at all the lefs commendable, for it is produ€tive of no 
harm, is fometimes attended with an union of fome part of 
the wound, when not with the whole, and always.affords the 
patient his chance of {peedily eluding the alarming fymp- t 
; d limb, h 
efh has been much torn and bruifed, befides being 
Ge apart of the wound healing by adhefion 
is confiderably dimini 
Sometimes ae woud may ‘geen fo ae contufed, 
e leaft ex- 
of t undergo changes The 
fhould' es ledor on n lightly, ce on the foftett a ‘and area in 
sii quantity to abforb the difcharge. fhould never 
be med into the wound, nor be foa "ied as to prevent 
ce ee tof the matter. “The times of drefiing,”’ (fays ieee 
s*muft be determined by the nature of the cafe ; if the 
charge be fmall or moderate, once in twenty-four hour's will 
he fufficient ; but if it be Larges shore frequent aia will 
he neceflary, as well to pre ence, as to remedy the 
‘ I arifing from-a on ei of an tating 
ie) 
fharp 
ine 
tt-dif of the general plan of enveloping 
ee fraGiures rie “the very firft in foft, warm, relax- 
ing poultices, which, he thought, ought only to be ufed 
when the limb is aétually i in a tenfe, {wollen, and painful 
ftate. When- re esi were not in this fituation, he was of 
ted the 
opinion, that the prevention of inflammation ‘for: 
grand in station, ced which objeét he advifed the pes pee 
ment.of difcut: nt applications fuch as mixtures sa Lae 
“of -wine, ae with fal ammoniac, the a 
monieé acetata, ae eta acetati, and sa ‘of this 
clafs, in whatever form the furgeon might prefe 
' Thefe latter remedies were to bé affiited with cn ufual an- 
tiphlogittic: means, particularly tire saan With’ ees 
ractures, we-have to ob- 
ars to have the saleaie| ‘of Pott 
eta fur 
-that patients in large cities and hofpitals ‘wi 
icaian tion, In country practice, however, circumftances are 
gots and 
of the ie aha par 
Ti ser oe ‘whi ch have been made on the fubjecét of 
{plints, and the pofition of the a in our aoe remarks 
on fractures, are all abe aaa ya her 
_ OF all cafes, co 
1 by ano- 
nis to be prevented or apbeen by free 
and nee bleeding (out of ae cities and hofpitals), by 
eeping the body ee = by the adminiftration of fuclr 
medicines as are to ferve fuch purpofes, ~ In 
this firft ftage alfo, Ve treatment of the limb muift be calzu- 
lated either for the prev of inflammatory tumefaction, 
by difcutient applications, 0 or _ the removal of {welling and 
tenfion, when ai come on, by fomentations 
and = nto 
a aifiet 
at de grea 
which leads to the formation of. lar e abfceffes and iodgmen 
of matter. When the aa soft he hi _ 
1s feized with mortificatio 
pl n purpofe, and art has little 
more to do, than preferve fe ae pofition of the injured 
art. 
When large gear of matter form and lodge, the ut- 
moft exertion of the judgment will fom -_ ai neceflary in 
the treatment of the cafe. * Enlargeme f the prefent 
wound, for the more’convenient difchar ge OF eee new or 
counter-openings, for the fame purpofe, or for the extrac+ 
tion of fragments of broken or exfoliated bone, will very 
oa see a be found neceffa 
Cen his 
Sane which ale occa 
ny hile a firft or spies ftage. Of a eo repoiind 
ure Jafts, an e ab{ceffes have not taken place, the 
ss es treatment 1s indicated o fooner has fuppu> 
rati eéxtenfive c ye atter formed, 
an olleétions 
than all-evacuations thou Id be diane d tlie e patient’s 
ftréngth ‘be-fupported with all micas afilance from diet : 
and medicines, 
The 
