. Modern surgery, general and operative. Fig. 1053.—Disarticulation at the shoulder-joint by Kochers method (Kocher). Vic. 1054.—Removal of the entire upperextremity (Kocher). incision beginning just below and in front of the acromion and running verticallyfor 4 inches down the outer surface of the arm (Fig. 1052, a-b). From thecenter of this incision an oval incision {c-d, c-e) is carried around the arm, theinner aspect of the oval reaching as low as the lower end of the vertical cuLThe oval incision at first involves only the skin and subcutaneous tissues. Theanterior structures are divided
. Modern surgery, general and operative. Fig. 1053.—Disarticulation at the shoulder-joint by Kochers method (Kocher). Vic. 1054.—Removal of the entire upperextremity (Kocher). incision beginning just below and in front of the acromion and running verticallyfor 4 inches down the outer surface of the arm (Fig. 1052, a-b). From thecenter of this incision an oval incision {c-d, c-e) is carried around the arm, theinner aspect of the oval reaching as low as the lower end of the vertical cuLThe oval incision at first involves only the skin and subcutaneous tissues. Theanterior structures are divided close to the bone, and the posterior structuresare next cut. To disarticulate, cut the capsule transversely upon the head of Amputution of the Entire Upper Extremity I ^6i the bone; while the arm is rotated outward cut the subscapularis, and whilethe arm is rotated inward cut the supraspinatus and infraspinatus and the teresminor. Cut away any tissue holding the humerus to the body, hanging nerves,capsule-fragments and tissue-shreds
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
