. Manual of operative surgery. middle finger as a result of a deep whitlow, v. Hacker operatedas follows: He made a skin flap (Fig. 1554) which exposed the whole palmaraspect of the middle finger and showed the complete absence of the flexortendons. Next he made two incisions (Fig. 1555) along the line of the extensorcommunis digitorum over the second metacarpal bone. Through these incisions TENDON TRANSPLANTATION 1217 he split the tendon, forminfj a long flap of tendon having its pedicle near thebase of the index linger. This flap he passed through a subcutaneous tunnelto the palmar aspect of
. Manual of operative surgery. middle finger as a result of a deep whitlow, v. Hacker operatedas follows: He made a skin flap (Fig. 1554) which exposed the whole palmaraspect of the middle finger and showed the complete absence of the flexortendons. Next he made two incisions (Fig. 1555) along the line of the extensorcommunis digitorum over the second metacarpal bone. Through these incisions TENDON TRANSPLANTATION 1217 he split the tendon, forminfj a long flap of tendon having its pedicle near thebase of the index linger. This flap he passed through a subcutaneous tunnelto the palmar aspect of the middle finger and sutured its end to the periosteumof the ungual phalanx. To avoid peritendinous adhesions he surrounded thetransplanted tendon with a piece of freshly removed hernial sac and in themiddle of the finger sutured across the tendon a band of fibrous tissue obtainedfrom the debris of the tendon sheath destroyed by the whitlow. The woundswere sutured and healing took place by first intention. Sixteen days later.
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
