A manual of operative surgery . wrist should be keptat rest until the partshave become consolida-ted, when passive move-ments may be com-menced. Active move-ments of the fingersshould be undertaken assoon as the patient canmove without pain. For some time afterthe splint is left off, thepatient should wear aleather support, andshould be persistent inhis attempts to exercisethe wrist and fingers andto increase the range oftheir movements. Results.—The resultsof this operation are onthe whole shortened or somewhatdwarfed hand is left,but, provided all the disease has been removed,
A manual of operative surgery . wrist should be keptat rest until the partshave become consolida-ted, when passive move-ments may be com-menced. Active move-ments of the fingersshould be undertaken assoon as the patient canmove without pain. For some time afterthe splint is left off, thepatient should wear aleather support, andshould be persistent inhis attempts to exercisethe wrist and fingers andto increase the range oftheir movements. Results.—The resultsof this operation are onthe whole shortened or somewhatdwarfed hand is left,but, provided all the disease has been removed, sound healing shouldoccur. The patient can write with the hand, and perform most ofthe normal movements ; sometimes even a really strong limb isobtained. The patient should be under observation for a long time,in order that any fresh development of the tubercular disease may bedealt with at once. A successful excision of the wrist contrasts well withthat of any other joint, and is infinitely preferable to an artificial FIG. 462. -result of partial excision of wrist(skiagraph). Ail the carpal bones of the first row have been removedexcept the pisiform, and part of the second row functional result was excellent. CHAP. IV] EXCISION OF JOINTS 737
Size: 1340px × 1865px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, booksub, booksubjectsurgicalproceduresoperative
