. The principles and practice of surgery. on given for the correspondingbones of the fingers must be in some degree modified to suit the exi-gencies of the case. The modifications required will readily suggestthemselves. The accompanying wood-cut represents a congenital hypertrophy ofthe second toe, for which the author amputated at the metatarso-phalan-geal articulation when the lad, who was the subject of the deformity,was nine years old. In the second wood-cut is shown the result of theoperation. Amputation at the Tarso-metatarsal Articulation.—This is acomplicated and irregular articulatio
. The principles and practice of surgery. on given for the correspondingbones of the fingers must be in some degree modified to suit the exi-gencies of the case. The modifications required will readily suggestthemselves. The accompanying wood-cut represents a congenital hypertrophy ofthe second toe, for which the author amputated at the metatarso-phalan-geal articulation when the lad, who was the subject of the deformity,was nine years old. In the second wood-cut is shown the result of theoperation. Amputation at the Tarso-metatarsal Articulation.—This is acomplicated and irregular articulation, formed by the juxtaposition ofnine bones. It is arthrodial in its character, its motions being limited 360 AMPUTATIONS OF THE FOOT. almost entirely to the feeblest flexion and extension, and an equallyslight sliding motion upon nearly plane surfaces. Its ligaments, there-fore, which cover in the whole length of the dorsal surface, are close andcompact, and neither present in themselves any guides to the articula- Fig. 150. Fig. Congenital Hypertrophy of Second Toe. Same after Amputation. tions, nor do they allow the joints to open sufficiently to indicate theirpositions. No one would think of entering these articulations from the plantarsurface, since in this direction they are peculiarly inaccessible, and theprincipal flap must be made from this surface. Fig. 152.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectg, booksubjectsurgery
