FRACTURE. 
pe is pothed hack, fo that the two pieces.are.replaced to- 
es ented in wiih one of the two portions is forced over .- 
as above directed, 
backward, the 
a e one 
-other ae = bege furfaces of the fracture dee: 
y 
‘in conta nay be afcertained by the touch, 
the _dlappeatane of aoe, and by a: regularity 
n the t of the teeth. 
It “<7 frequently happens, that a oie is fituated exact- 
ly in the courfe of the fra€ture. In this circumftance, th 
-generality of furgical writers direét us to’ one the loofened 
tooth in the re t of an pear eae fubitance, likely to 
produ ive of harm, and co 
t alfo often occurs, ae 
the oie, of the fracture, are driven 
In this cafe, we are to replace the an without delay, and 
-fix them in = proper places by tying them to oe nei h- 
-bouring on Ce pe somes | this method, in the. Bl 
ee ver, “ «fi hi lab ant (dentes), ulteriores inter fe feta 
golienv . Hippocrates advifes the ufe of a piece of 
gol 
— for the purp 
es Oe sei wabjedt is to apply the apparatus, by w. 
‘the broken bone-is to be kept from. becoming Leineed 
‘again. Cuftom fanétions the application of a piece of foap- 
-plafter to the integuments covering the fracture, though we 
fhould have fome difficulty to offer any good reafon for the 
practice, reat neatnefs "of appearance ; for, with regard 
_ to efficacy, there can be none. 
* Several isn comprefles are next to be prepared, in one 
_of which a piece of pafteboard is to be put. Thefe may 
oe) 
be wet with fome difeutient lotion, fuch as that made of the . 
he 
the one pane of vine es {al- 
e 
leone the fragture from becoming difplac ed, ea are to 
be retained in their place with Galen’s bandas made either 
_with four, or fix tails. 
being mentione y Celfus, in nreating of the aGtured | 
.«¢ Mollis habena (ys he) media in longitudinem incifa, 
_utrinque mentum comple@tatur, et inde capita ejus ms 
t 
caput adduéta ibi Cie 
- During the whole ef i treatment, ~ patient ike re. 
empt to move his jaw, and he 
and ay dase fuch pour 
When 
age is ain. 
“of the cafe, to 
in order to eens the. ftate of the fracture, and re€tify it 
‘when difplace 
Fractures of the jaw are generally united in Ages three 
weeks; at the end of which time, the patient may com- 
“monly be allo wed to ae and even to leave off the 
bandage. 
. piftol being cameelae in the It pafled a 
- hollow bougie down the pha ashe x “hom a ‘eft noftril. 
The inftrument was ‘fattened i in this. fituation witha ligature, i 
the ends of which were pinned to the patient’s n ignt-cap. 
"Thus food and medicines were inje¢ted into the. ftemach, 
pofe. % 
e fraGture as evenly as Gremuinice: ve A 
“pair of nerves. 
Mice confidered it highly neceflary, in the deals 
eel the infide of the mouth tolerably often, _ 
In an inftance, i in which the lover jaw = fraftured by. a. 
outh, 
Nigar any difturbance or motion of the Lae - pan 
s certainly deferving al eS in ag bad 
Fra€tures of the j ja to be followed by 
troublefome abfceiles, al tedious: exfoliations 
Fraétures of the Zygoma. 
zygoma, which extends from ad outfide of the 
temporal bone to the os male, feems, from dreae re 
expofed to fractures than all the other bo: nes of t ° fac ce. 
‘However, as far as experience goes, it is not aes often 
broken, and, doubt, it is much lefs frequently 
eyond 
injured 4 in this way, than either the lower jaw, or the frontal 
‘bone, 
Two examples of the ee Mae fraCtured are relited 
by Duverney in his “ Traité fur les Maladies des Os.” 
‘In one of thefe cafes the ee were depreiied againtt 
1 
the tempora a le ; in:the other, one portion proje&ed 
outward. ‘The differences muit have arifen from the pare 
ticular yee in ich the blow had ated in ea - inftan 
The patient was incapable of deprefling the lower: ae 
without cou rable fuffering ; the pain in the fituation of 
In the pat 
there was felt, in the place which had been ftruck, a kind 
of hollow, which was, gra by the depreffion of the 
w became itill m 
1e jaw. = T- 
tween the coronoid procefs and the zygoma, 
fort of wedge, be 
made the latter gradually refume its natural pofition, care 
being taken to ufe at ven piece of wood, in proportion as 
? the broken part became more and more replace 
= the fecond cafe, the projecting portion. of the ° 2 goma 
eafily reftored to its proper place, by pre The 
zpplications a and bandage were fimply retentive. 
| Fraéures af the Vertebre. 
s, falls, the paffage of heavy carriages over the 
mk. aad particularly gun-fhot wounds, are caiufes capable 
in of the vertebra. 
the exception of the 
= projeting {pinous proceffes, they are .not ee iy broken, 
mdeed can only be — s injured by great violence, 
gee in a particular mann 
Fraétures, both of the fpinous proceffes, and of the cor- 
pora vertebrarum, are aren egies cafes, on oe 
of the afli@ting fymptoms which com The 
Soe does not rar neue ‘originate. four the mifchief done 
the bone; but from the concuffion of the {pinal marrow, 
pa ee by the, ete ‘lene, 5 from the compreffion 
or Sanath of the e part, arifing from fome - the 
ents of bone ae driven ane it. 
indeed, which the parts within the {pinal canal often fultain. 
is fo ot es that, if the patient lives.a certain time, they often 
e, and a large quantity of matter is formed around the 
edie of the dura mater, which’ covers the ‘medulla 
fpina alis. 
¥ a - Cecchi, 
mse 
=] 
