A manual of operative surgery . de it passesa little in front of the corresponding process (Fig. 407, a). In making the skin incision the surgeon holds the foot in his lefthand, and manipulates it himself. In dealing with the right footit is convenient to turn the foot inwards, and to commence the incisionat the heel and on the outer side. The knife then traverses the externalside of the limb, and reaches the front of the ankle. The foot being chap, ix] AMPUTATIONS OF THE LEG 609 now turned outwards, the incision is carried back along the innerside of the foot to the heel again. On the left si
A manual of operative surgery . de it passesa little in front of the corresponding process (Fig. 407, a). In making the skin incision the surgeon holds the foot in his lefthand, and manipulates it himself. In dealing with the right footit is convenient to turn the foot inwards, and to commence the incisionat the heel and on the outer side. The knife then traverses the externalside of the limb, and reaches the front of the ankle. The foot being chap, ix] AMPUTATIONS OF THE LEG 609 now turned outwards, the incision is carried back along the innerside of the foot to the heel again. On the left side, the foot havingbeen turned inwards, the incision may be commenced in front, andbe carried back to the heel along the outer aspect of the limb. Whenthe foot has been turned outwards, the ellipse is completed by drawingthe knife from the heel to the starting-point across the inner side ofthe ankle. The first incision involves merely the skin and the subcutaneoustissues. The surgeon then proceeds to dissect up the posterior or. FIG. 407.—A, Guyons supramalleolar am-putation : a, Saw-line for that opera-on; B, Duvals supramalleolar ampu-tation : b, Saw-line for that operation.
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