FRACTURES.

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A fracture is technically called a solution of continuity; but, as the general reader will imagine the definition can hardly be correct, with regard to a bone which may be broader than it is long, I will here define it to be the violent division of a bone into two or more parts.

Fractures are divided into comminuted, simple, and compound. The comminuted and compound, for the present purpose, may be regarded as one and the same; since it is obviously impossible to restore the bone of a dog which has been crushed into innumerable pieces; and such a state of the hard structure is scarcely possible to exist without the soft parts, as flesh or muscle, around the injury being involved, or the lesion rendered compound as well as comminuted in its nature.

Then it is simple fractures only that have to be dealt with in this place; and a simple fracture exists when a bone is snapped across into two equal or unequal pieces. It does not matter at what point the injury may occur; so that the bone be broken only into two pieces, and none of the flesh be torn, or the joint involved, the fracture is a simple one. In the dog, several simultaneous simple fractures may exist; as where the animal breaks across the whole of the four metatarsal bones proceeding from the hock to the foot; or snaps, which is of more rare occurrence, the entire number of metacarpal bones, proceeding from the joint, which is called the knee of the dog, towards the foot of the animal.

The bones, however, most commonly fractured are the ulna and radius in the fore-limb, and the tibia and fibula in the posterior extremity. Next to these in order are the femur or thigh-bone, in the hind-leg, and the humerus or arm-bone of the anterior limb. Then come the four metacarpal or metatarsal bones, being the same in number in both legs. These are all the author undertakes to treat. The first and last he manages pretty successfully. For the restoration of a fracture, all that is necessary is to bring the ends which have been divided together, and to keep them in the place into which your art has brought them. To accomplish this end, the author is accustomed to cut from a sheet of stout gutta percha three broad straight ribbons; then to soak these in warm water till they are pliable, having first cut in them several holes resembling button-holes, by the aid of a punch and narrow chisel. When they have lain in the warm water a sufficient time to soften, and no more—for the water of too great a heat shrivels up as well as softens the gutta percha—he draws forth one ribbon, and this he moulds to the front of the sound leg.

That done, he takes another piece of the gutta percha, and this he models to the hind part of the sound leg. The remaining slip is fixed to the side of the limb. After the pliable gutta percha has been forced to assume the shape desired, it is the practice of the writer to cover it with a cloth saturated in cold spring water, to hasten the setting of the material, and thereby shorten a process which always renders the dog somewhat uneasy. All this accomplished, he next braces the splints together, and fixes them upon the limb, by means of a long piece of tape; putting under them, next to the skin of the animal, a quantity of lint to prevent the gutta percha from irritating the flesh. The tapes he also runs through the holes previously made, and winds about the limb, or over the splints—rather, but not too tightly in the first instance—with the intent of arousing the restorative amount of inflammation. This quantity of inflammation, the reader may imagine, would be certain to ensue on so violent an injury as the separation of the hard supports of the body; but in this he is mistaken. I have known a favorite hound to break at once the four metatarsal bones, and though the splints necessary to promote a union were kept on above two months, nothing of the kind took place; at the end of which time all bandages were removed, and his movements effected the cure which my appliances were unable to bring about. Some persons even advocate taking off all bandages from a broken leg, and sending the dog for a walk, where union is tardy; but people who use such language talk about that, concerning which they literally know nothing. It is not one walk which will produce the desired effect; but repeated walks are required to accomplish what appears to the ignorant so certain to occur. Thus, to do nothing is far better in some cases than to perform much; since the absence of remedies accomplishes that which all the paraphernalia of the surgery is unable to produce.

There are cases, however, which cannot get well of themselves, unless deformity be esteemed of no consequence. Thus, when the radius and ulna are snapped right across, and the foot, deprived of all support, dangles at the end of the limb; here the interposition of surgical agency is absolutely required; for the fracture, if left to itself without the aid of art, would never assume its proper situation. So when the humerus or femur are fractured, the bones may unite of themselves; but in that case shortening of the limb and incurable lameness is certain to ensue. The practitioner aims not only to bring the separated ends of the bone together; but he endeavors, by the invention of various means, to keep them there, or to force the limb all the time of the cure to be and to remain at its fullest length. To prevent the tendency to contract in the limb, and consequently to shorten, is one of the chief difficulties which we have to contend with in the treatment of fractures. When a bone is broken, the muscles which hold the parts together sooner or later contract, and sometimes with such force as to draw the ends of the bone, which were once continuous, side by side; thus rendering the limb shorter than it was previously. This force is generally exerted immediately on the occurrence of the accident; but in some petted animals where the system is slow, it does not take place till some indefinite period has elapsed. Fortunate is the gentleman who is called on to treat a case before anything of the kind has occurred, as his difficulties will thereby be at first materially lessened; but when putting on the splints, he must be careful that they are strong enough and his tapes tight enough to keep the leg extended, or to resist the power which sooner or later he may rest assured will start up.

The bandages and splints having been on some time—the precise period of which cannot be estimated,—the leg will swell, especially the foot, and the tapes become so tight as to cut into the flesh. The practitioner pays little attention to the primary indication of swelling being about to take place; but when it has fairly set in, and threatens to do injury to the limb, he with caution loosens the tapes, thus permitting the blood freely to circulate.

The after-treatment of a fracture is comparatively easy. It consists merely in keeping the bowels open, attending to the general health, and in renewing the splints and bandages as often as may be necessary.

It is well to bathe the fractured limb, splints and all, in the following lotions:—

LOTION FOR THE LEG BEFORE THE SWELLING HAS COMMENCED.
Tinct. arnic. mont. One drachm.
Aqua font. One ounce.
Ess. limon A sufficiency.

To be applied frequently.

LOTION TO BE USED WHEN SWELLING IS PRESENT.
Tinct. aconit. Half-a-scruple.
Aqua font. One ounce.
Ess. anis. A sufficiency.
LOTION TO BE APPLIED AFTER THE SWELLING HAS SUBSIDED.
Zinchi chlor. One grain.
Aqua font. One ounce.
Ess. anis. A sufficiency.

The other measures are dictated entirely by circumstances.


                                                                                                                                                                                                                                                                                                           

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