The practice of surgery . , we secure a far betterstump by supracondyloid amputation. SPECIAL AMPUTATIONS 9S; Supracondyloid Amputation.—Frohixhly the best method for thisoperation is that suggested by Stokes and Gritti, which consists ofsection of the femur above the condyles with an osteoplastic flap,formed by the split patella. The authors point out that by this meansthe. strong anterior weight-bearing patellar suiface becomes the endof the stump. As we approach the hip-joint in our amputations, the danger ofshock increases, coincident with a rise in the operative such reasons
The practice of surgery . , we secure a far betterstump by supracondyloid amputation. SPECIAL AMPUTATIONS 9S; Supracondyloid Amputation.—Frohixhly the best method for thisoperation is that suggested by Stokes and Gritti, which consists ofsection of the femur above the condyles with an osteoplastic flap,formed by the split patella. The authors point out that by this meansthe. strong anterior weight-bearing patellar suiface becomes the endof the stump. As we approach the hip-joint in our amputations, the danger ofshock increases, coincident with a rise in the operative such reasons surgeons should amputate the thigh with great careand forethought, using every means to minimize shock and hemor-i-l^j^ge—especially by elevation of the leg; by careful application of thetourniquet; by perfect hemostasis, and by nerve cocainization. I. Ti£ 676-Wyeths hip-joint amputation: Pins and rubber tube tourniquet inposition. The Esmarch bandage has been removed (Wyeth). prefer long muscle-flaps when they are available, and a thorough lacingtogether of the flaps in completing the suturing of the stump. _ Inmid-thigh amputations the surgeon has to find and secure especiallythe femoral and popliteal arteries, while he must take pams to_ treatthe sciatic and anterior crural nerve-ends by a proper anastomosis. The hip-joint amputation has always been a matter of keen interestto surgeons since amputations at the hip-joint have been done,for the operation is a relatively modern one.^ The shock is oftenextreme, and the hemorrhage not always easy to control, while deathfrom complications may follow unexpectedly. Not long ago I had 1 Walter Brashear, at Bardstown, Kentucky, in August, 1806, performed thefirst successful amputation at the hip-joint. 988 MINOR SURGEin—DISEASES OF STIUCTURE occasion to amputate at the hip-joint for Har
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
