. A treatise on artificial limbs with rubber hands and feet ... nemius muscle. Duringthe healing process the muscles retracted, and the tissues about theextremity became puckered at the rear. Although this condition gavesome alarm, the case was not found difficult for satisfactory prothetictreatment. 338 A. A. MARKS, ARTIFICIAL LIMBS, NEW YORK CITY. Cut No. 1166 represents a tibial stump. The operation was performedto remove a leg that had been badly burned; the amputation was per-formed at the juncture of the middle and upper thirds, the flaps wereformed of scarified tissues, and consequently
. A treatise on artificial limbs with rubber hands and feet ... nemius muscle. Duringthe healing process the muscles retracted, and the tissues about theextremity became puckered at the rear. Although this condition gavesome alarm, the case was not found difficult for satisfactory prothetictreatment. 338 A. A. MARKS, ARTIFICIAL LIMBS, NEW YORK CITY. Cut No. 1166 represents a tibial stump. The operation was performedto remove a leg that had been badly burned; the amputation was per-formed at the juncture of the middle and upper thirds, the flaps wereformed of scarified tissues, and consequently were irritable; advantagewas taken of a few isolated bearing places, and a limb was inches of this stump could have been removed to advantage. Knee Disarticulations.—Amputations through the knee joints arenot condemnable, notwithstanding the fact that many artificial limb-makers look with disfavor upon them. In knee disarticulations every effort should be made to produce end-bearing stumps; this can only be done by allowing the natural cover-. No. 1166. ings on the articulating surfaces to remain untouched, or to providecovering from periosteal and integumentary tissues, bringing thecicatrix well away from the extremity. If an end-bearing stump can-not be obtained in a knee disarticulation, it will be better to amputateat about the juncture of the middle and lower thirds of the thigh, andget rid of a sensitive extremity that cannot be of any use. Cut No. 1167 represents a knee-joint stump, rear view. The patellaand external condyle were removed; the internal condyle was preservedin its entirety; the flap was brought to the rear and the cicatrix wellremoved from the extremity. An artificial leg was applied so thatpressure was placed directly upon its extremity, where it was enduredwithout annoyance. Cut No. 1168 represents a knee-joint amputation, the sides of thecondyles removed, the flap carried over the extremity, the cicatrixplaced at the rear and well away
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