A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . icial leg, at the anteriorinferior corner of the stump. The scar,therefore, should not be placed on the frontof the shin ; and the crest of the tibia shouldbe sawed off, at the point where the bone isdivided, so as to make the corner less angu-lar. If the amputation is made within twoor three inches of the knee, it is likely thatthe strong flexors will cause permanentflexion of the stump at the knee. This is undesirable. It woul
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . icial leg, at the anteriorinferior corner of the stump. The scar,therefore, should not be placed on the frontof the shin ; and the crest of the tibia shouldbe sawed off, at the point where the bone isdivided, so as to make the corner less angu-lar. If the amputation is made within twoor three inches of the knee, it is likely thatthe strong flexors will cause permanentflexion of the stump at the knee. This is undesirable. It wouldperhaps be better to disarticulate at the knee by Grittis method. A long anterior flap operation or an oblique or a transverse circularmethod will jDrobably be found most useful. The tissues of the heelmay be used for the posterior flap, when the amputation is just abovethe malleoli, and make a firm covering to the bone, which will bearpressure well during walking. Disarticulation at the Ankle Joint and Amputations of the Foot. Artificial feet are made which are almost perfect in their functionas supporting and locomotive agents ; but painful cicatrices on the. Amputation of leg. A, longanterior flap ; B, supra-malleolaramputation by long posterior flap;C, at the upper third. (Stimson.) AMPUTATIONS OF THE FOOT. 803 feet or irregularities, which create a tendency to corns or bunions, ren-der the patient much more uncomfortable than would the wearing ofthe substitute foot. The conditions are so different from those whichobtain in the case of the hand that portions of the foot are with justiceremoved, though the corresponding parts of the hand would be pre-served with great diligence. Scars should, as a rule, be placed on the dorsum, in operations uponthe foot; and the plantar tissue which is accustomed to bearing pres-sure and is not easily irritated should cover the end of the stump. Byfilling a part of his shoe with cotton a man with a walking stump,which is long enough, can o
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