. Operative surgery. Fig. 480.—Flaps by transfixion. Fig. 481.—Removal by transfixion. point to emerge at the same situation as at the anterior transfixion, andthe posterior flap made by cutting obliquely upward and backward. Eachflap should correspond in length to at least one half the diameter ofthe limb. The retractor is then applied, the soft tissues are drawn wellupward, the remaining fibers in contact with the bone are severed by a cir-cular sweep of the knife, and the bone is carefully sawed through. Whenlateral flaps are made, the flap containing the large vessels should be con-structe


. Operative surgery. Fig. 480.—Flaps by transfixion. Fig. 481.—Removal by transfixion. point to emerge at the same situation as at the anterior transfixion, andthe posterior flap made by cutting obliquely upward and backward. Eachflap should correspond in length to at least one half the diameter ofthe limb. The retractor is then applied, the soft tissues are drawn wellupward, the remaining fibers in contact with the bone are severed by a cir-cular sweep of the knife, and the bone is carefully sawed through. Whenlateral flaps are made, the flap containing the large vessels should be con-structed last. The mixed double flap is a modification of the preceding, and sometimescalled Sedillots method. The fiaps are made by transfixion, as before, butare more superficial, the knife not being brought in contact with the remaining muscles and vessels are divided by a circular incision, andthe amputation completed as before described. In this instance the flapsare thinner and shorter than in the precedi


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