The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . nd placed in a heat and inflammation follow, the part should be kept wet withcold water, by placing a piece of lint upon it, and keeping it satu-rated. The flap can be taken as well from the back of the handas the palmar surface. In this case it will be necessary to placethe palm uppermost, and commence the incision on this surfaceinstead of the other. In the circular operation, the knife is carried through the integu-menl around the finger, about half its diameter below the joint, t
The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . nd placed in a heat and inflammation follow, the part should be kept wet withcold water, by placing a piece of lint upon it, and keeping it satu-rated. The flap can be taken as well from the back of the handas the palmar surface. In this case it will be necessary to placethe palm uppermost, and commence the incision on this surfaceinstead of the other. In the circular operation, the knife is carried through the integu-menl around the finger, about half its diameter below the joint, the 144 AMPUTATION OF FINGERS. skin having been previously drawn up as much as possible; theintegument is then dissected up to the joint, which is bleeding having been arrested, as in the former case, the lipsof the wound are brought together by adhesive straps, and the handplaced in a sling. Amputation at the Fhalangeo-metacarpal Articulation is veryeasily effected by an incision commenced on the prominence of theknuckle, and carried, in a semilunar form, around the finger, ter-. minating where it commenced. The convexity of the incisionbeing forward, and on the palmar side of the finger, the tendonsand ligaments are then cut across, and the bone disarticulated, andthe wound treated as in the former cases. There seems to be goodreason to avoid this amputation with the ring and middle fingers,from the fact that the articular extremity of the metacarpal bone,expanded to great extent to give a good surface for motion, whendeprived of this function by the removal of its appendage, onlyserves as a wedge to separate injuriously the other fingers, andwhich certainly does impair their usefulness, as well as the appear-ance of the hand. But the metacarpal extremities of the little andforefingers are exceedingly useful as abutments, by which thegrasp of the hand is improved. In the case of the other fingers, itis always better to remove a portion of the metacarpal bone
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