A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Modified circular amputation : skin flaps and circular through muscles. (Esmarch. ) level of the edge of the retracted superficial muscles. Xext the peri-osteum is divided by a circular incision and detached from the bone toa sufficient extent to make a covering for the end of the bone when itis sawn. The bone is sawed at a point as high above the skin incisionas one half the diameter of the limb. Instead of this method whichlea
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Modified circular amputation : skin flaps and circular through muscles. (Esmarch. ) level of the edge of the retracted superficial muscles. Xext the peri-osteum is divided by a circular incision and detached from the bone toa sufficient extent to make a covering for the end of the bone when itis sawn. The bone is sawed at a point as high above the skin incisionas one half the diameter of the limb. Instead of this method whichleaves a conical hollow in the muscles at the end of the stump, a cuff Fig. Formation of a cutaneous cuff in a circular amputation at two levels. (Tillmanns.) of skin and superficial fascia may be turned up; and the whole mus-cular mass then divided by a single circular cut, down to the short incision perpendicular to the circular incision may be made toaid in turning up the cuff of skin. The periosteal cuff described in the first method is not essential inamputation by any of the methods. After hemorrhage has been ar-rested, the edge of the circular wound is sutured, in a vertical or hori-zontal line, with or without drainage. The oblique circular incision, with which the so-called elliptical 794 AMPUTATIONS.
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