Un traité pratique sur les fractures et luxations . ons à la règle générale.Mais la plupart des chirurgiens ont témoigné de la difficulté de maintien dans placewhen réduction a été assez accompli. Dit Chelius, therecommonly reste plus ou moins de déformation et de Malgaigne dit qu'est difficile et rare de la guérir sans déformation. Néanmoins, Desault (ou, plutôt, son élève Bichat, qui a publishedhis conférences), qui parle toujours avec confiance très de sa capacité de re-tain est rompu ou os disloqués à leur place, dit qu'healmost toujours obtenu un succès complet avec son apparat

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A practical treatise on fractures and dislocations . ons to the general rule.But most surgeons have testified to the difficulty of retaining it in placewhen reduction has been fairly accomplished. Chelius says, therecommonly remains more or less deformity, and Malgaigne says thatit is difficult and rare to cure it without deformity. Nevertheless, Desault (or, rather, his pupil Bichat, who has publishedhis lectures), who always speaks very confidently of his ability to re-tain either broken or dislocated bones in their places, says that healmost always obtained complete success with his apparatus. Itis remarkable, however, that of the three examples furnished by Bichatto confirm this statement, all of which were treated by Desault himself, one recovered after a long time with a very perceptible protuberancein front of the sternum, one with a very slight protuberance, andin the other the swelling was almost gone on the twentieth day, andwe are left in doubt as to whether the reduction was any more complete 560 DISLOCATIONS OF THE CLAVICLE.. than in either of the other cases.1 Richerand and Guersant succeededno better with Desaults dressings.2 Other surgeons have made similar claims for their own forms of ap-paratus, but experience still continues to show that a complete reten-tion of the dislocated bone is seldom to be expected. Sir Astley Cooper recommends an apparatus, the construction andapplication of which are illustrated by the accompanying sketch, the ob-ject of which is to draw the shoul-ders back, and at the same time, by the aid of two pads or cushionsin the axilla?, to carry the shoul-ders outwards. The dressing isthen completed by placing thearm in a sling. He advises, however, that in some way di-rect pressure should be madeupon the projecting point ofbone. Velpeau objects to any planwhich will draw the shouldersback; but, on the contrary, hethinks that the shoulders shouldbe kept slightly forwards, so asto diminish the tendency of thesternal end of the clav

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• bookcentury1800
• bookdecade1870
• bookyear1875
• livresubjectfractur