The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . The ulna. 3. The semicircular incision on the back of the wrist. 4. The knife about tocut a flap from the palm of the hand. After Bernard and Huette. Fig. 4. The Stump after the preceding Operation. Fig. 5. Maingaults Operation for Amputation of all the Metacarpal Bones,except that of the Thumb. 1, 2,3. The anterior flap. 4. The knife, which, havingtransfixed the palm, is about to cut
The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . The ulna. 3. The semicircular incision on the back of the wrist. 4. The knife about tocut a flap from the palm of the hand. After Bernard and Huette. Fig. 4. The Stump after the preceding Operation. Fig. 5. Maingaults Operation for Amputation of all the Metacarpal Bones,except that of the Thumb. 1, 2,3. The anterior flap. 4. The knife, which, havingtransfixed the palm, is about to cut the flap. After Bernard and Huette. Fig. 6. Completion of the same Operation. 1, 2, 3. The posterior section. 4. The knife incising the joint. After Bernard and Huette. Fig. 7. Disarticulation of the Thumb. 1,2, 3. Line of the incision so as toform an oval wound. After Bernard and Huette. Fig. 8. The Thumb, being carried across the Palm of the Joint, is opened onits External Side. 1. The head of the metacarpal bone. 2. The bistoury. After Bernard and Huette. Fig. 9. Union of the Wound, showing the Line of the Cicatrix and the Ap-pearance of the Hand after the Amputation. After Bernard and Huette. (690). AMPUTATION OF THE FOREARM. 691 and reverting this flap, Plate LXXIII. Fig. 6, cut through the muscles atone sweep, divide the lateral ligaments, open the joint in front, and thendivide the triceps tendon above the olecranon process. The main trunk ofthe brachial is the principal artery to be tied, after which the wound can bereadily closed by uniting the skin transversely. Flap Operation.—The circular amputation of this joint is by no meansthe best method of forming a stump. As the muscles of the forearm arechiefly developed in front of the elbow-joint, I should prefer the flap opera-tion by the following plan :— Operation.—Place the forearm in a semiflexed position, and, grasping themuscles of the forearm in the left hand, raise them, and pass an eight-inchcatlin through
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