from protrusion of the bones； or afterwards； from pruritus； or
irritation； in the latter case you are immediately to unloose the
bandages； and having applied pitched cerate to the wound； bandage
the limb； placing the head of the roller upon the wound； and
proceeding otherwise as if there were no wound in the case； for thus
will the swelling be reduced as much as possible； and the wound will
suppurate most quickly； and the diseased parts will
separate； and when
it becomes clean the wound will most quickly heal。 Splints are not
to be applied to the place； nor is it to be bound tight。 Proceed
thus when no large bones exfoliate； but not in the latter case； for
then there is great suppuration； and the same treatment is not
applicable； but the parts require to be exposed to the air on
account of the abscesses。 In such cases where the bones protrude；
and whether reduced or not； bandaging is not befitting； but
distention
is to be practiced by means of rolls of cloth； made like those used
upon shackles； one of these is to be placed at the ankle； and the
other at the knee； they are to be flattened toward the leg； soft；
strong； and having rings； and rods made of cornel； and of a proper
length and thickness are to be adjusted to them； so as to keep the
parts distended； and straps； attached to both extremities； are to be
inserted into the rings； so that the extremities being fixed into
the rolls； may effect distention。 Treatment：…Pitched cerate； in a
hot state； the attitudes； position of the foot and hip； regulated
diet。 The bones which have protruded through the skin are to be
replaced the same day； or next； not on the fourth or fifth； but when
the swelling has subsided。 Reduction is to be performed with levers；
when the bone does not present any place upon which the lever can
rest； a portion of the part which prevents this is to be sawed off。
But the denuded parts will drop off； and the limb become shortened。
Part 42
Dislocations at the joints are to a greater and less extent。
Those that are to a less extent are the most easily reduced； those
that are to a greater extent occasion lesions of the bones； of the
ligaments； of the joints； of the fleshy parts； and of the attitudes。
The thigh and arm resemble one another very much in their
dislocations。
THE END