. Minor and operative surgery, including bandaging . C. Antero-posterior flap. The dotted lines indicate the levelsat which the bones areto be sawn through. (Stimson.) _ Fig. of the leg. A. Long anterior flap. B. Elliptical At upper third. (Stimson.) out bv a curved incision through the skin beginning atthe posterior edge of the tibia on the inner side, a littlebelow the point at which the bones are to be divided, andis carried over the leg to a point directly opposite over the 524 AMPUTATIONS. fibula (Fig. 428, A). The anterior muscles are dividedtransversely half an i
. Minor and operative surgery, including bandaging . C. Antero-posterior flap. The dotted lines indicate the levelsat which the bones areto be sawn through. (Stimson.) _ Fig. of the leg. A. Long anterior flap. B. Elliptical At upper third. (Stimson.) out bv a curved incision through the skin beginning atthe posterior edge of the tibia on the inner side, a littlebelow the point at which the bones are to be divided, andis carried over the leg to a point directly opposite over the 524 AMPUTATIONS. fibula (Fig. 428, A). The anterior muscles are dividedtransversely half an inch above the lower end of the flap,and are dissected from the bone to the base of the posterior flap is then made by entering the knifebehind the bones at the point of the original incision andcutting directly outward. Rectangular Flap Method (Teale).—In this methodof amputation of the leg an incision equal in length tohalf of the circumference of the leg is made from thepoint at which the bones are to be divided on one side Fig. Amputation of the leg by lateral flaps. (Bryant.) of the leg, and is carried across the limb and back uponthe opposite side to a point opposite the point of flap thus marked out is dissected up to its base, anda posterior flap of one-fourth the length is next cut by atransverse incision down to the bones, and is dissected backto the line of the origin of the first incision (Fig. 427, B).The long flap is next doubled back and its edges securedto the posterior flap, or the long flap may be cut fromthe posterior surface of the leg and the short flap fromthe anterior surface. Antero-posterior Flap Method.—A long anterior flap,including half of the circumference of the limb, may becut from without inward, composed of skin, connectivetissue, and muscles; and a short posterior flap, cut fromwithin outward, may also be employed. This method isoften employed in amputations in the upper portion of theleg (Fig. 427, C). Lateral Fl
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