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 . Disarticulation at the shoulder : a, ovalmethod; b, method by deltoid flap.(Stimson.) Amputation through shoulder of incision for modified ovalmethod. (Smith.) adduction and Fig. 464. Amputation of the Arm. The insertions of the deltoid, great pectoral and broad dorsal mus-cles should be retained if possible, so as to preserveabduction of the stump. If the amputation ishigh, the operation may be similar to thatchosen
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 . Disarticulation at the shoulder : a, ovalmethod; b, method by deltoid flap.(Stimson.) Amputation through shoulder of incision for modified ovalmethod. (Smith.) adduction and Fig. 464. Amputation of the Arm. The insertions of the deltoid, great pectoral and broad dorsal mus-cles should be retained if possible, so as to preserveabduction of the stump. If the amputation ishigh, the operation may be similar to thatchosen for disarticulation at the shoulder the arm is flattened laterally, the broadestflaps are attainable from the lateral oblique circular, the transverse circularand the flap methods yield perhaps equallygood results. Disarticulation at the Elbow Joint. This operation gives a much less usefulstump than amputation through the forearm;even if the latter be at the upper part of theradius and ulna. The attachments of thetriceps and biceps to the upper ends of thesebones give extension and flexion to the stump,and therefore give the patient a mova
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