On the Surgery
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On the Surgery.
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On the Surgery
Written 400 B.C.E
Translated by Francis Adams
In fractures we must attend to the length, breadth, thickness, and number
of the compresses. The length should be that of the bandaging; the breadth,
three or four fingers; thickness, three or fourfold; number so as to encircle
the limb, neither more nor less; those applied for the purpose of rectifying
a deformity, should be of such a length as to encircle it; the breadth
and thickness being determined by the vacuity, which is not to be filled
up at once. The upper bandages are two, the first of which is to be carried
from the seat of the injury upwards, and the second from the seat of the
injury downwards, and from below upwards; the parts about the seat of the
injury being most compressed, the extremities least, and the rest in proportion.
The upper bandages should take in a considerable portion of the sound parts.
We must attend to the number, length, and breadth of the bandages; the
number must be such as not to be inferior to what the injury requires,
nor occasion compression with the splints, nor prove cumbersome, nor occasion
any slipping of them, nor render them inefficient. As to length and breadth,
they should be three, four, five, or six cubits in length, and as many
fingers broad. The folds of the strings (selvages?) should be such as not
to occasion pressure; they are to be soft and not thick; and all these
things are to be proportionate to the length, breadth, and thickness of
the part affected. The splints are to be smooth, even, and rounded at the
extremities; somewhat less all along than the upper bandaging, and thickest
at the part to which fracture inclines. Those parts where there are tuberosities,
and which are devoid of flesh, such as the ankles or fingers, we must guard
from the splints which are placed over them, either by position, or by
their shortness. They are to be secured by the strings in such a manner
as not to occasion pressure at first. A soft, consistent, and clean cerate
should be rubbed into the folds of the bandage.