. Operative surgery. to the bone,and cuts the fiap downward and outward from thebone of the indicated length; the second flap is madeat the opposite side in a similar manner (Fig. 633, h). Both flaps are thendrawn forcibly upward, and the bone is exposed an inch above the point oftransfixion and divided with the saw. The fiaps are united, drained, and thewound is dressed as before. If amputation be performed close to the band ofa tourniquet or the elastic bandage of Esmarch, the muscles will be held toofirmly to permit natural retraction until after the bone is sawed and theyare liberated; thi


. Operative surgery. to the bone,and cuts the fiap downward and outward from thebone of the indicated length; the second flap is madeat the opposite side in a similar manner (Fig. 633, h). Both flaps are thendrawn forcibly upward, and the bone is exposed an inch above the point oftransfixion and divided with the saw. The fiaps are united, drained, and thewound is dressed as before. If amputation be performed close to the band ofa tourniquet or the elastic bandage of Esmarch, the muscles will be held toofirmly to permit natural retraction until after the bone is sawed and theyare liberated; this is a fault which must be recognized and corrected by cut-ting the muscles lower than would otherwise be done. The Amputation hy the Bilateral-flap Method (Fig. 617, a, c).—Thebilateral-flap method is admirably adapted to amputation at the middle andlower thirds of the thigh. The flaps are integumentary and their outlines are formed the same asin amputation of the leg by this method. They are dissected up from the. Pig. Equilateral-flap method, a. Bi-lateral-flap method. 534 OPERATIVE SURGERY.


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