Fractures with wounds

When there is a fracture and a wound at the same time, then let the chiropractor be very careful when reducing; he should move the splints away from the wound site, and let him apply the appropriate plasters and, especially, a resin plaster to the wound. Some people recommend starting with a bandage on both sides of the wound, leaving the wound bare; this is good when the wound is not at the actual site of the fracture, and there should be some other covering on the wound that protects it from air. If the wound is at the site of a fracture, you must somehow manage to give the bandage such a shape that it reliably protects the wound on all sides and slightly moves away from the wound itself, having a suitable form for this, the compresses should be moistened with black tart wine. And the trick is to place the end of the bandage on the upper edge of the wound and then move it sideways and backwards, after which they bring another bandage and place it on the other edge of the wound, the lower one. Otherwise, the dressing is completed as it should be, and goes diagonally, so that the wound itself remains open, and everything else is securely bandaged. One bandage goes up, and the other bandage goes down, and the fracture site is tightly tightened, but the wound remains open. You can expose it whenever you want, but you can also make a hole in the splints against it so that the medicine for the wound can reach it and you can extract the ichor from it. And let it be arranged in such a way that both can be covered together, for leaving the wound open is not good, especially in the cold, it is only necessary that it is not pressed tightly. And at night it is covered with a piece of cloth.

When the wound is healed, use splints if it was postponed, and apply splints at the site of the wound if it was free from them. And when they wish, morning and evening, to remove the tissue covering the wound in order to apply special treatment, this should be possible, and, moreover, without disturbing the bandages applied to heal the fracture. Says Hippocrates If the wound is fresh, then it should be bandaged, applying a bandage from the middle, and if it is old and festered after ripening, then it should be bandaged, starting from the upper end until they reach the middle. It is also good to make the bandages adjacent to the wound, and especially the upper ones, tighter so that they force the material to flow, but tighten them as much as is bearable, and make them softer as they move away from the wound.

If a large depression is formed due to the ulcer, then the bandage is tightened tightly at the site of the depression; if the tightest bandage is at the site of fusion, then the goal is achieved, and if not, then the wound is used as we said.

When the bandage reaches the fracture site, it is also made tighter, and the organ should be given a position that facilitates the flow of pus if it has accumulated in the wound. During the summer, dressings surrounding the wound should also be cooled to help prevent swelling. It is not appropriate to apply wax ointment to the affected area, especially in summer - this often causes decay of the organ - and if a distracting medicine is needed, let it be an astringent wine, as we explained earlier. If along with the fracture there is crushing and there is a fear that the organ will die, then make an incision.

In general, know that if the wound is bandaged according to the rules, then the bandage promotes the flow of matter, and if the doctor made a mistake when bandaging, then the wound swells, especially when the wounded area is loosely bandaged and the underlying area is tightened. If the wounded place is not open, then the ichor does not flow out and the medicine does not reach it, and if it is left uncovered, then it rots and cools and the organ dies, and this leads to pain and fever. So the doctor has to do something in between: he looks at what's going on and corrects the damage before it gets worse.