FRACTURE, 
been known to 
; a confiderable ie ey re 
fuch difcharge be made, and there be neither finus nor lodg- 
ment to account for it, and all other circumftances are favour- 
able, an examination fhould always be made, in order to 
know whether fuch caufe yes not ex and if it se it 
matt be gently and oo OV 
_Inceafes o 
as 
ee 
o 
a 
g 
an 
% 
& 
to ‘beat, ier ound the ‘nolt 
e is neceffitated to part with his 
imb, as the only means of faving his life, after undergoing 
very fevere fufferings. In fpeaking of this fubject, Mr. 
rs has occalion ‘to ot tt he never had found it necef- 
lim ompou rae fra€ture, on account 
is = protale difcharge, aie fuch fra€ture was in an united 
Tho mputation is nen rendered indifpen- 
fable i in fpite 2 the beft treatment, yet this eminent furgeon 
. the appetite fail, an inclination to f{weat a 
withaut affignable canfe, and. this.in eau eae of a large 
: difcharge of matter from - a limb, which has fuffered great 
- inflammation, but which has now become rather foft and 
flabby than hard and tumid, we are recommended to fup- 
port the patient tofzs stiles 
. When ndeavour is made to fave a limb, which has 
firft, gan rene and mortification .are the confe- 
quences arifing, fometimes from the mifchief done to the 
limb at the time that the bone is broken, fometimes from 
the cians of the parts made by the. protrufion of the 
"Mortification may alfo be occafioned by improper. treat- 
ment, fuch as violent oe ribeee of the wounded: 
parts with i probe, painf improper Ripolice: 
of the limb, and the pias to ve wfefal medicin Yr 
nd i in gingrenes 
ant upon 
2ven! 
mere confequence of the 
té has explant that it ge- 
det i is sBkete to enfue, no 
mifchief muft a be a or adn by ale 
amputation. rs‘{iays the above writer) make 
all the difference eg pro obable fafety and: deftruétion. 
cn the limb, 
If we wait till the difeafe has taken poffeffion 
th no pur- 
‘The 
even in 7 eft degree, the operation’ will ferv 
the’ patient’s death. 
_ pofe, t of accelerating” 
gangrene  deays extends higher up the interior, than the fu- 
perhicial set he the limb, and when once ae it can 
never be: oy amputation 
rition has oe negletied, ape attempt 
of while the mortification is ina dine parte 
practitioner ld now endeavour, ‘by: all poffible means, to 
affift nature.in feparating the dead from the living . It 
} 
. #3 a lamentable truth, however, that in this ftate of things 
‘ the patient generally dies, and his- | ife falle a Sacrifice to 
- an haudicious effort to fave-his limb. 
- Vou. XV. s 
‘When the mortifiestion isnot the immediate effeck of the 
mifchief done to the limb by the ac 
a 
e fhall finith thefe nee on compound fra&uree 
Gs a. citation from an author, whofe works be ionaite sa 
the —— eee inforsiation: 
of tim 
“The fete 3 ee accident, before i in- 
flammation has taken say ee 6 the If this 
portunity be neglected, or not embraced, ae ‘confequence ie is 
either ieee ene, or a large fuppuration with formation and 
lodgment.of matter. Lf the former of thefe be the cafe, 
en this becomes the arian 
e thir 
proportional ftrength ; f the patient, — 
with the difcharge and ee of the feaEbure, muft form our 
determination.” See on Fra& 
en F; vane. 7 
Frattures of the Offa Nafi.—The fituation of the offa Aafi 
expofes them very much to external vialence ; but the man- 
ner in which they are implanted between “the afcending 
proceffes of the upper maxillary bone air a the aie in which 
they are fupported by the vomer and ontisy are’ - 
fons why they are not fo frequently fraGured: by blow 
falls, as would otherwife be the c cafe.. However, ieee 0 
fometimes give way. a become depreffed:-and- feparated 
from the a ie aaa a. of em are not always 
sss t the { tim in sl ces, one is found 
A fraCure offa nafi i 
fymptoms,. inflam: nD of th pituitary pena fwellin g 
of the nof d face, = or lefs ophthalmy., and occafion- 
ally a- bleedi ngiat eafily ie topped. The _re- 
fpiration alfa {ometimes {deing opprefled ; and, when _ er 
“¥ 
