. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, joint (Fig. 410, B) and carried down tothe beginning of the web; then over the toes to the be-ginning of the adjoining web; then under the plantarsurface of both toes in the line of the digito-plantar fold,through the web, and back to the point of divergence. AMPUTATIONS OF THE FOOT. 509 Amputation of the Great Toe.—This may be accomplishedby
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, joint (Fig. 410, B) and carried down tothe beginning of the web; then over the toes to the be-ginning of the adjoining web; then under the plantarsurface of both toes in the line of the digito-plantar fold,through the web, and back to the point of divergence. AMPUTATIONS OF THE FOOT. 509 Amputation of the Great Toe.—This may be accomplishedby means of the racket-shaped incision employed in am-putation of the other toes (Fig. 109), or by means of alateral flap. In the latter case the knife is made to enterthe joint by cutting through the commissure, and theoperation is completed by carrying the knife through thejoint and along the outer side of the bone, forming a flapof the required size. In this amputation a short dorsalflap and a long plantar flap may be employed, or a largeinternal flap may be used. Amputation of the Great Toe with its Metatarsal Bone.—The incision begins upon the dorsal surface of the meta-tarsal bone, a little below the point at which the bone is to Fig. Amputation of the great toe and first metatarsal bone. (Smith.) be divided, and is carried down below the metatarso-phalangeal joint, then diverges and passes under the toe,and comes back again to the point of divergence (Fig,410, C). The bone is exposed and cut through with cut-ting forceps, and is then lifted up and dissected loose fromthe tissues (Fig. 411). Amputation of All the Toes.—To amputate all the toes,make a dorsal incision from the head of the fifth to thehead of the first metatarsal bone ; the incision should be
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
