. 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, carpal joint. AMPUTATIONS AT THE WRIST. Circular Method.—The skin of the forearm near thewrist being retracted bv an assistant, a circular incision ofthe skin and cellular tissue is made half an inch below thepoint of the styloid process of the radius (Fig. 391, G).The skin and cellular tissue are next dissected back as faras the joint, which
. 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, carpal joint. AMPUTATIONS AT THE WRIST. Circular Method.—The skin of the forearm near thewrist being retracted bv an assistant, a circular incision ofthe skin and cellular tissue is made half an inch below thepoint of the styloid process of the radius (Fig. 391, G).The skin and cellular tissue are next dissected back as faras the joint, which is opened and the disarticulation com-pleted. Antero-posterior Flap Method.—This method is alsoemployed in amputations at the wrist-joint; an incisioncurved downward is made on the back of the hand fromone styloid process to the other ; the hand being flexed,the tendons are divided and the joint opened, and the 496 AMPUTATIONS. palmar flap, which should extend as far as the base of themetacarpal bones, is cut from within outward (Fig. 395).Amputation at the wrist is sometimes performed by cut-ting a single flap from the palm, the joint being openedby a transverse incision on the back of the hand from onestyloid process to the other. Fig. Amputation at the wrist. (Erichsen.) Lateral Flap Method.—This method (Fig. 392, H) isalso sometimes employed in amputation at the wrist, andmay be employed with advantage in cases of laceration ofthe hand, in which the injury to the tissues is so greatas to prevent the formation of the flaps used in the othermethods of amputation. AMPUTATIONS OF THE FOREARM. The forearm may be amputated by the circular or flapmethod, or by making rectangular flaps (Teales method). Circular Method.—At the lower portion of the forearmthe circular method of amputation is to be preferred. Acircular incision of the skin and cellular tissue is made anda cuff is dissected up, the muscles and interosseous mem- AMPUTATIONS AT THE ELBOW. 497 brane being c
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
