. A new manual of surgery, civil and military. Flapless Amputation. The completed dressing and apparatus for skin traction in position in the same case as preceding illustration. 768 MODERN MILITARY SURGERY of the tibia, there is little retraction of the skin, since the quadriceps andhamstrings are intact, and there is plenty of material for a trans-condylaramputation later. Similarly, at the hip-joint, a transverse amputation, whichis practically the first stage of an Esmarch amputation, often saves the situa-tion, v^^hile the mortality from disarticulation at the hip-joint is so great as tom
. A new manual of surgery, civil and military. Flapless Amputation. The completed dressing and apparatus for skin traction in position in the same case as preceding illustration. 768 MODERN MILITARY SURGERY of the tibia, there is little retraction of the skin, since the quadriceps andhamstrings are intact, and there is plenty of material for a trans-condylaramputation later. Similarly, at the hip-joint, a transverse amputation, whichis practically the first stage of an Esmarch amputation, often saves the situa-tion, v^^hile the mortality from disarticulation at the hip-joint is so great as tomake it almost unjustifiable; and at the shoulder, it can be used as the firststage of a shoulder-joint amputation, when immediate disarticulation wouldbe much more Flapless Amputation. The same ease as the preceding showing the improvement in skin growth over the stump at the end of two weeks. Compound commiimted fracture. These cases in war wounds due to shellsdiffer from those one encounters in civil practice. In the compound fractureswe are accustomed to treat in peace time, the protruding bone is perhapsinfected, but the infection is usually not severe and is confined to the protrud-ing bone and the immediate focus around it—that is, it is strictly gunshot fractures, on the other hand, a piece of metal enters the limb,carrying with it pieces of clothing coated with mud from a highly manuredsoil; it strikes the bone with explosive violence, splintering perhaps five orsix inches of the shaft and lacerating the soft tissues widely; and the exitwound is an enormous rent made by pieces of bone as well as the area of broken bone and lacerated tissue and blood-clot, perhaps as largeas a cocoanut, is at once infected w
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
