Preparatory and after treatment in operative cases . Fig. 388.—Amputation Wound Closed with Interrupted Sutures and TubeDrainage Introduced. repeated at intervals of forty-eight hours until the infection sub-sides, at which time horsehair or silk-worm gut drainage (page. Fig 389.—Amputation Wound Dressed, Stump Immobilized on Posterior PaddedSplint and Thigh Extended to Relax Muscles. 193) is used, until the secretion of inflammatory products ceasesto discharge. If the infection is severe, it is best to remove 610 OPERATIOXS ON THE EXTREMITIES entirely the sutures and treat the case as is desc
Preparatory and after treatment in operative cases . Fig. 388.—Amputation Wound Closed with Interrupted Sutures and TubeDrainage Introduced. repeated at intervals of forty-eight hours until the infection sub-sides, at which time horsehair or silk-worm gut drainage (page. Fig 389.—Amputation Wound Dressed, Stump Immobilized on Posterior PaddedSplint and Thigh Extended to Relax Muscles. 193) is used, until the secretion of inflammatory products ceasesto discharge. If the infection is severe, it is best to remove 610 OPERATIOXS ON THE EXTREMITIES entirely the sutures and treat the case as is described under the open method of handling the problem. A certain amount of secretion is discharged in all instancesfollowing amputations. This is a part of the process of repair,although the character of the discharge varies with respect towhether pus is formed or not. A part of the secretion is due toa certain amount of superficial necrosis of the divided ends ofbones, and, indeed, even in cases in which primary union is prac-tically obtained, a small sinus corresponding to the point of egressof the drainage tube may persist for several weeks after the opera-tion, which finally heals when the portion of bone has been ex-foliated. In cases where infection exists
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