File:The operating room and the patient; a manual of pre- and post-operative treatment (1913) (14592987918).jpg

Identifier: operatingroompat00fowl (find matches)
Title: The operating room and the patient; a manual of pre- and post-operative treatment
Year: 1913 (1910s)
Authors: Fowler, Russell Story, 1874-1959
Subjects: Operating Rooms Patients
Publisher: Philadelphia,: Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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every effort should be made topreserve the epiphyseal cartilages in resection of the joints.Injury of these structures, with the enforced rest necessary inresection, leads to lessened longitudinal growth of the bone andconsequent relative shortening of the limb. 332 OPERATING ROOM AND THE PATIENT The After-treatment of Resection of the Elbow-joint.—The arm is to be thickly enveloped ^vith aseptic gauze dressing andaseptic cotton-wool and placed at first on a right-angled wiresplint, or a fenestrated plaster-of-Paris splint may be employed.If a movable j oint is aimed at, the use of an open-wire frame sus-pended in an easy position, ■^ith bandage material stretchedacross from side to side, will be indicated. T\Tien total resectionis performed, under which circumstances bony union of the sawedsurfaces gives the most useful arm, a splint Avhich will keep theparts immobile, and at the same time permit access for dressingpurposes, is to be used. The form of splint shown in Fig. 167 is
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Pig 1(37.—Plaster bridge elbow splint. For the after-treatment ofresection of the elbow-joint. Only the parts connected together by the■ bridge are of plaster of Paris. The remainder is simple bandage materialretaining the dressings in position. (^Fowlers Surgery.) very useful. It is of plaster of Paris and embraces the arm andforearm only, with a comiecting bridge on the anterior surface.A number of turns of plaster-of-Paris bandage encircle the fore-arm and arm alternately, the bridge being formed of the samebandage as it passes to and fro from the forearm to the arm. As a rule, the patient may leave the bed after the first week.In the movable joint cases daily passive movements in the nor-mal directions may be commenced as soon as healthy granula-tions fill the wound. In injuries cicatrization is under wayin from four to six weeks; in shot injuries the period is longer. OPEKATIOXS UPOX SPECIAL TISSUES 333 These movements are to be followed as soon as practicable by thepatients

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