Thethigh-boneisconsolidatedinfortydays。
20。Butthisalsoshouldbeknown,thatthethigh-boneiscurvedrathertotheoutsidethantotheinside,andratherforwardthanbackward;whennotproperlytreated,then,thedistortionsareinthesedirections;andtheboneisleastcoveredwithfleshatthesameparts,sothatthedistortioncannotbeconcealed。If,therefore,yoususpectanythingofthiskind,youshouldhaverecoursetothemechanicalcontrivancesrecommendedindistortionofthearm。Andafewturnsofthebandageshouldbebroughtroundbythehipandtheloins,sothatthegroinandthearticulationneartheperineummaybeincludedinthebandage;andmoreover,itisexpedientthattheextremitiesofthesplintsshouldnotdomischiefbybeingplacedonpartsnotcoveredwiththebandages。Thesplints,infact,shouldbecarefullykeptoffthenakedpartsatbothends;andthearrangementofthemshouldbesomanaged,asthattheymaynotbeplacedonthenaturalprotuberancesoftheboneattheknee-joint,noronthetendonwhichissituatedthere。
21。Theswellingswhichariseintheham,atthefoot,orinanyotherpartfromthepressure,shouldbewellwrappedinunscouredandcardedwool,washedwithwineandoil,andanointedwithcerate,beforebandaging;andifthesplintsgivepaintheyshouldbeslackened。Youmaysoonerreducetheswellings,bylayingasidethesplints,andapplyingplentyofbandagestothem,beginningfrombelowandrollingupward;forthustheswellingswillbemostspeedilyreduced,andthehumorsbepropelledtothepartsabovetheformerbandages。Butthisformofbandagingmustnotbeusedunlesstherebedangerofvesicationsorblackeningintheswelling,andnothingofthekindoccursunlessthefracturebeboundtootight,orunlessthelimbbeallowedtohang,oritberubbedwiththehand,orsomeotherthingofanirritantnaturebeappliedtotheskin。
22。Moreinjurythangoodresultsfromplacingbelowthethighacanalwhichdoesnotpassfartherdownthantheham,foritneitherpreventsthebodynorthelegfrombeingmovedwithoutthethigh。
Anditcreatesuneasinessbybeingbroughtdowntotheham,andhasatendencytoproducewhatofallthingsshouldbeavoided,namely,flexionattheknee,forthiscompletelydisturbsthebandages;andwhenthethighandlegarebandaged,ifonebendthelimbattheknee,themusclesnecessarilyassumeanothershape,andthebrokenbonesarealsonecessarilymoved。Everyendeavorthenshouldbemadetokeepthehamextended。Butitappearstome,thatacanalwhichembracesthelimbfromthenatestothefootisofuse。Andmoreover,ashawlshouldbeputlooselyroundattheham,alongwiththecanal,aschildrenareswathedinbed;andthen,ifthethigh-bonegetsdisplacedeitherupwardortotheside,itcanbemoreeasilykeptinpositionbythismeansalongwiththecanal。Thecanalthenshouldbemadesoastoextendallalongthelimbornotusedatall。