. Medical and surgical report. me time pulling the skin of the thighupward. The point of the nail is inserted horizontally and at right anglesto the shaft a Ungers-hreadth above the upper margin of the externalcondyle. As soon as the bone is touched, drilling is begun (Fig. 4). Theoperator controls the drill with both hands and leans his body, either chestor groin, against the breast-piece of the drill. The resistance which at first ^ Taken in part from my article in the American Journal of the Medical Sciences, August,1913, No. 2, vol. cxlvi, p. 157. 2 Nagelextension dcr JCnochen bruche, Neue
. Medical and surgical report. me time pulling the skin of the thighupward. The point of the nail is inserted horizontally and at right anglesto the shaft a Ungers-hreadth above the upper margin of the externalcondyle. As soon as the bone is touched, drilling is begun (Fig. 4). Theoperator controls the drill with both hands and leans his body, either chestor groin, against the breast-piece of the drill. The resistance which at first ^ Taken in part from my article in the American Journal of the Medical Sciences, August,1913, No. 2, vol. cxlvi, p. 157. 2 Nagelextension dcr JCnochen bruche, Neue Deutsche Chirurgie, 1912, Band i; BritishMed. Jour., November 30, 1912, p. 1235. 181 l82 CITY HOSPITAL MEDICAL AND SURGICAL REPORT is encountered lessens after a while, for penetration is easier after the cor-ticalis is passed, as the cancellous tissue offers less resistance. Again,progress is slower as the corticalis of the opposite side is , this also is passed and the nail point may be felt emerging from. Fig. I. -Solid nails of varying lengths. The points are sharpened on four sides;the heads are round in order to fit the chuck of the hand drill. the bone. The skin overlying the nail point is pulled upward by the assis-tant and the point finally emerges. Drilling is stopped when the two nailends project equally on either side of the limb. The narcosis is then
Size: 2134px × 1171px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
