. Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands, from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. Revised to October, 1855. flaps, there is a neces-sary variation in the proceedings, from the circumstance ofthere being two bones united by inter-osseous may, however, be accomplished by sweeping the knife 9* 102 MR. LUKES FLAP OPE
. Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands, from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. Revised to October, 1855. flaps, there is a neces-sary variation in the proceedings, from the circumstance ofthere being two bones united by inter-osseous may, however, be accomplished by sweeping the knife 9* 102 MR. LUKES FLAP OPERATION. around the more distant bone of the two, its point beingafterward carried between the bones through the inter-osseous membrane. While the knife is between the bones,its edge may be so turned that the membrane may be dividedlongitudinally to any convenient extent for the easy intro-duction of a retractor, and the soft parts around the bonenearest to the operator may subsequently be divided by asweep of the knife in a manner similar to that adopted forthe division of parts around the more distant bone. Thesawing of the bones and dressing of the stump are accom-plished as in the thigh amputation; but more care is re-quired to avoid pressure on the acute margin of the tibia,(which, when very sharp, should be removed,) and to pre-vent the pendulous state of the A. The mid-point between B and C, at which the knife is introduced for carrying it across the to D. The course of the incision to form the posterior flap, to g. The course of the incision to form the anterior flap. When the nature of the injury renders amputation neces-sary at or immediately below the tuberosity of the tibia, theoperation may be done with safety. Baron Larrey recom-mended the removal of the head of the fibula in such cases;I have done it v^ith impunity, and thereby made a betterstump than if it had not been done; but as the articulatingsurface of the head of the fibula does sometim
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Keywords: ., bookcentury1800, bookdecade1860, bookpublishe, booksubjectsurgery
