The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . <4«&i»i*8^fi---^^S«ii^. ORGANIC CHANGES RESULTING FROM AMPUTATIONS. 713 of the remaining ligaments; when, passing the knife flatwise beneath thefoot, form a flap out of the integuments on the sole of the foot, by shavingthem oS close to the metatarsal bones, making the flap longest on its inneredge so as to meet the increased thickness of the tarsus on this side. Remarks—The circum
The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . <4«&i»i*8^fi---^^S«ii^. ORGANIC CHANGES RESULTING FROM AMPUTATIONS. 713 of the remaining ligaments; when, passing the knife flatwise beneath thefoot, form a flap out of the integuments on the sole of the foot, by shavingthem oS close to the metatarsal bones, making the flap longest on its inneredge so as to meet the increased thickness of the tarsus on this side. Remarks—The circumstances under which either Lisfrancs or Chopartsoperation would be performed being very different, it is hardly desirable toattempt any comparative estimate of their value. Lisfrancs operation iscertainly preferable to Choparts when it is admissible, in consequence of itsaffording a greater length of foot, and thus adding to the patients stability,and, with a good shoe, constructed as shown in Plate LXXVIII. Fig. 11, avery useful limb can be obtained. Borckel states* that in Choparts operation the average mortality is onein nine. The amputation at the metatarsal bones and Lisfrancs tarso-metatars
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