. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . mputation (disarticulation) of the Metacarpus.*—Sometimes, in cases of injury especially, it is highly desirableto save the thumb, although the rest of the hand must be —The hand being strongly supinated, a narrowdouble-edged knife is inserted a little below the joint betweenthe unciform bone and the fifth metacarpal, passed across t
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . mputation (disarticulation) of the Metacarpus.*—Sometimes, in cases of injury especially, it is highly desirableto save the thumb, although the rest of the hand must be —The hand being strongly supinated, a narrowdouble-edged knife is inserted a little below the joint betweenthe unciform bone and the fifth metacarpal, passed across the * See Amputation of the Metacarpus, vol. 1, p. 713. AMPUTATIONS IN THE UPPER EXTREMITY. 791 palm close to the bones, and made to emerge just below thejoint between the trapezium and the second metacarpal. It isnow carried downward parallel with Fig. 437. the bones, and made to cut its wayout, forming a large elliptical pal-mar flap, Fig. 437. Next, the handbeing strongly pronated, a semilu-nar incision is made across the backof the hand, as in Fig. 438, aboutone inch below the carpo-metacar-pal joint; and this flap being dis-sected up and turned back, thefibrous attachments of the meta-carpus are all divided. Fig. 438. Fig. Amputation of the hand,anterior flap. 1, 2, 3,
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