The homeopathic practice of surgery : together with operative surgery . philangeal joints, in the same manner as the fingers. (See , and directions for Amputation of the Fingeks.) For the carpo-metaearpal amputation of the thumb, beginan incision on the back of the hand a little above the upper ex-tremity of the metacarpal bone of the thumb, continuing it downbetween the thumb and fore-finger. Introduce the point of anarrow bistoury or scalpel at the lower extremity of this incision,passing it up under the metacarpal bone, so as to bring the pointout where the first incision began (see F
The homeopathic practice of surgery : together with operative surgery . philangeal joints, in the same manner as the fingers. (See , and directions for Amputation of the Fingeks.) For the carpo-metaearpal amputation of the thumb, beginan incision on the back of the hand a little above the upper ex-tremity of the metacarpal bone of the thumb, continuing it downbetween the thumb and fore-finger. Introduce the point of anarrow bistoury or scalpel at the lower extremity of this incision,passing it up under the metacarpal bone, so as to bring the pointout where the first incision began (see Fig. 93), with the edgelooking towards the end of the thumb. Then cut outward anddownward, so as to make a good flap from the palmar surface to Fig. cover the part after the bone is removed. The bone can be readily PREPARATION AND MODE OF PROCEDURE. 145 separated from the trapezium and wholly removed. To arrest thehemorrhage, it will generally be necessary to take up one or moresmall arteries. Secure the flap in place by adhesive straps, applyyour lint and bandage, and support the hand in a sling. (SeeAmputation of the Arm.) CHAPTER XIII. amputations of the lower extremity. OF THE THIGH. All necessary arrangements being made, your instruments athand, and your assistants ready with proper instructions, the pa-tient is placed in a convenient position on his bed, or a tablecovered with folded blankets. If you conclude not to remove himfrom his bed, he must be on a mattress, or boards suitably limb to be operated on should project over the edge of thebed or table, while the other is fastened by bandages to some fixedpoint, or firmly held by a strong assistant.* After everythingelse is ready, the patient is rendered insensi
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