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 . 802 AMPUTATIONS. ened surface of the patella to the cancellated tissues of the denudedcondyles, has some possible advantages. The makers of artificial limbsare apt, perhaps, to prefer an amputation two or three inches above Fig. 470. Fig. Stephen Smiths amputation at theknee joint. the joint or the osteoplastic disarticulationto a pure disarticulation, as it gives a betterchance for a satisfactorily movable joint atthe kne
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 . 802 AMPUTATIONS. ened surface of the patella to the cancellated tissues of the denudedcondyles, has some possible advantages. The makers of artificial limbsare apt, perhaps, to prefer an amputation two or three inches above Fig. 470. Fig. Stephen Smiths amputation at theknee joint. the joint or the osteoplastic disarticulationto a pure disarticulation, as it gives a betterchance for a satisfactorily movable joint atthe knee in the prosthetic appliance. Amputation of the Leg. The best point of division of the bone asfar as wearing an artificial leg is concernedis probably the junction of the lower andmiddle thirds. The chief pressure comes,in wearing an artificial leg, at the anteriorinferior corner of the stump. The scar,therefore, should not be placed on the frontof the shin ; and the crest of the tibia shouldbe sawed off, at the point where the bone isdivided, so as to make the corner less angu-lar. If the amputation is made within twoor three inches of the knee, it is likely thatthe strong flexors will cause permanentflexion of the stump at the knee. This is undesirable. It wouldperhaps be better to disarticulate at the knee by Grittis method. A long anterior flap operation or an oblique or a transverse circularmeth
Size: 1624px × 1539px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
