The after-treatment of operations; a manual for practitioners and house surgeons . means of lacing. When the artificial limb is first worn,all bandages must be dispensed with, and if it is neces-sary to support the scar, a collodion dressing can be woollen sock or socks should be worn over the stump,to prevent the skin from being chafed by contact withthe socket. The After-Treatment of Amputations 255 Artificial Limbs. Artificial Hand or Arm.—No artificial hand can befitted unless the amputation is at or above the wrist;however, two or even one finger or stumps of fingers areof more use
The after-treatment of operations; a manual for practitioners and house surgeons . means of lacing. When the artificial limb is first worn,all bandages must be dispensed with, and if it is neces-sary to support the scar, a collodion dressing can be woollen sock or socks should be worn over the stump,to prevent the skin from being chafed by contact withthe socket. The After-Treatment of Amputations 255 Artificial Limbs. Artificial Hand or Arm.—No artificial hand can befitted unless the amputation is at or above the wrist;however, two or even one finger or stumps of fingers areof more use to the patient than the best artificial handthat has ever been invented. For an amputation in themiddle of the forearm the limb is made with a woodensocket coming up to the elbow, into which the stump fits(Fig. 35); there is a broad leather strap round the lowerpart of the upper arm, which is attached to the socket byhinges. The grasp of the artificial hand is obtained bymeans of a cord attached to a belt round the oppositeshoulder; a very slight movement of the shoulders is. Fig. 35. sufficient to open the hand, and by relaxing the pull onthe strap the hand closes by means of a spring. After thepatient has become accustomed to using the apparatus agreat deal of use can be made of it. For an amputation above the elbow the socket is madeto come up over the shoulder, and is fixed in place by astrap round the body (Fig. 36); a cord is used in the sameway as in a below-elbow limb for obtaining the handmovement, and another cord passing behind the shoulderis used for obtaining movement at the elbow. Most of thefriction comes upon the sides of the stump, and notupon the end, so that a circular method of amputation isparticularly well suited to arm amputations. The im- 256 The After-Treatment of Operations portant points about an artificial arm are lightness,simplicity, and a good fit. To Measure for an Artificial Arm.—Stump: length fromtop of shoulder to end, length from point o
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