VRAC TUR RE. 
aimed at, was fuch'a ier as‘that the foot, leg, ne 
ole 5 3 fo that,. ough. 
nt: di- 
lag-apparatus to _ er ee purpo 
A ftrong fplint, long enough to oad from the ridge a 
the os ium rs a eee leng hi 1 beyond the fole of the foot,. 
is-a principal par: of this apparatus : this dy ae fhould be 
o inehes anda quarter broad, and have. each of its ex- 
tremities pierced in fhape of a mortife, aaa ee minated by a 
femicircular niche. It is applied on the exterior fide of the 
thigh, by means of two {trong linen bands, each being more 
than a yard long. 
- The middle part of one of thefe bands is - be rae = 
the infide of the thigh, at its upper part; its 
brought to the exterior fide of the thigh, pated trough i 
mortife, and knotted on the femicircular niche. .Comprefles 
are to. ufly aoe ed under ne middle ee 3 the 
eee in or well 
is, in the 
peri r 
erior eins are fixed by 
und ve pelvis. A ban ae 
ed under the “fole of the foot, 
and the extremities ooh on its fuperior furface, and faf- 
tened to. the ae prevents the motion of. the foot, as do 
alfo the air 
Befor ae g the apparatus, the whole limb is to be 
covered. ae compreffles,, wet with a folution of the = 
ef lead.. Over thefe, Scultetus’s bandage is to be p 
and a oo round the foot, all moiftened in the fae 
man 
; It die uld be obferved, that Scultetus s bandage was .made 
on the fame plan as the cightee tailed on onfifted of 
an indeterminate number of aiding bande, shies inches in 
width, and of a fufficient length to pafs twice round the 
tiunb, It fhould be applied from below upwards, in fuch a 
manner, that two-thirds of = width of one fuld may be 
covered by the fuc cceeding on ; 
Fradures ae the inf.rior ie bass - ‘the Thigh, with Separation 
ak sek 
is right foot 3 pees 
» in confequen th 
oO 
aking a lower part of the thigh ae tan 
d. 
“he following were the fymptomé which were noticed : 
i 
relpedt to one another, 
‘upwards that portion of the femur 
as. befor 
ee was not mucl welling a about the knee, he fom 
tufion and = igaicce The joint, when looked at - - 
verfely, had a ftretched appearance, and was more flattened 
preffed, fun 
condyles cone a was rai 
motion on each other, = be fete or moved in every 
tinuity defcending in an oblique 
— above the external to within =a inches of the internal. 
Th he ftrong action of the mufcles of the en had drawn 
which was connected. 
with the external condyle, a the upper portion of the 
bone had ees ended. pointed edge of the latter pigce. 
wound in the integuments, an inch and a h 
length, on ae infide of the thigh a little above the con- 
"The 5 e patient was put ona flraw-bed, with a hard mattrefs 
underneath. Default SaaS that it was aia the. 
cuftom in the Hétel Dieu ufe feather as shat as 
nco nveniences arifin y fr rom 
cafe 
piec 
cee de . ee ae ache in, the following man 
ounter-extenfion made fixing the patient to 
the hed ee the bed by. ete bandages ; and, whilit one 
afiiftant fupported him under the axilla, a fecond kept up 
an extenfion, by laying hold of the foot with one hand an 
the heel with the other, whilit other ae ee the 
pelvis and the fuperior part to prevent the 
parts being fhaken. A little inconvenience was experienced 
om the contraction of the mufcle during the extenfion, 
and the bones were brought in a ftate of appofition without 
any difficulty. 
e parts were maintained in their fituation by two c 
cular compreffes, and by a bandage, fimilar to that of. Saul 
tetus; and the peice cf the limb filled up with coarfe 
linen. The whole was fupported by two flrcng fplints un- 
equal in their length and about three inches in width, and 
aa with drap. Janon 
reflings, as before obfcrved, being difpofed on the 
bed, were placed on the limb; they were wet with the aq 
veg. and applied i 7 the following manner: whilft the exten- 
fion was kept up by affiftants, the two circular ie 
were made-to crofs each other forwards, one cn the knee 
and the other on the inferior part of the thigh. 7 he bande- 
age was then applic from the fuperior part of th e leg to to 
the upper part of the thigh: the files were then filled up as 
with foft linen. ‘The pen were then applied, one 
ee on the outfide of the e flint, to prevent the an 
venience of preflure. The {plints defcended fuficiently low 
to be on a level with the fole of the foot, but the outfide 
“fplint 
