A manual of operative surgery . FIG. 382.—DISARTICULATION OF THE FIG. 383.—DISARTICULATION OF THE GREAT TOE BY INTERNAL PLANTAR GREAT TOE BY RECTANGULAR FLAP : THE RESULTING STUMP. INTERNAL FLAP. [Farabeuf.) with that described in disarticulation of the second phalanx (page563). The joint should be opened from below, through the glenoidligament. The fibrous sheath of the flexor tendon may be closed. In disarticulating, the toe should be manipulated by the assistant,while the surgeon holds back the soft parts with his left fingers. Thetoe should be turned and twisted to the inner side when divi
A manual of operative surgery . FIG. 382.—DISARTICULATION OF THE FIG. 383.—DISARTICULATION OF THE GREAT TOE BY INTERNAL PLANTAR GREAT TOE BY RECTANGULAR FLAP : THE RESULTING STUMP. INTERNAL FLAP. [Farabeuf.) with that described in disarticulation of the second phalanx (page563). The joint should be opened from below, through the glenoidligament. The fibrous sheath of the flexor tendon may be closed. In disarticulating, the toe should be manipulated by the assistant,while the surgeon holds back the soft parts with his left fingers. Thetoe should be turned and twisted to the inner side when dividingthe outer lateral ligament, and to the outer side when dividingthe inner one. In dissecting back the flap, it is well to keep closeto the bone, so as to avoid injury to the digital vessels. In disarticulating, also, care must be taken to keep close to thephalanx and to cut towards the bone ; the soft parts must be welldissected back and the ligaments exposed. If such care be not taken,the plantar digital arteries—whic
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Keywords: ., bookcentury1900, booksub, booksubjectsurgicalproceduresoperative
