. Minor and operative surgery, including bandaging . Fins inserted and tube applied. tied. The exposed end of the femur is then graspedwith bone forceps, and an incision is next made uponthe outer side through the skin and muscles until theneck and head of the bone are exposed, and the disarticu-lation is accomplished. This method is now practised without first sawing thefemur. The pins and elastic constrictor are applied as pre-viously described and a circular incision, including the skinand cellular tissue, is made around the thigh six inches 534 AMPUTATIONS. below the tip of the great troch
. Minor and operative surgery, including bandaging . Fins inserted and tube applied. tied. The exposed end of the femur is then graspedwith bone forceps, and an incision is next made uponthe outer side through the skin and muscles until theneck and head of the bone are exposed, and the disarticu-lation is accomplished. This method is now practised without first sawing thefemur. The pins and elastic constrictor are applied as pre-viously described and a circular incision, including the skinand cellular tissue, is made around the thigh six inches 534 AMPUTATIONS. below the tip of the great trochanter and a cuff of skin andcellular tissue is dissected up (Fig. 439). A vertical in-cision is then made down to the bone from the outer sideof the cutaneous incision to a point one inch above thegreat trochanter. The flaps thus formed are retracted andthe bone is dissected out of its muscular bed. The capsuleof the joint is then exposed and opened and the disartic- Fig. Limb amputated and bone sawed. (Wyeth.) ulation is effected by adduction and rotatory movementsof the limb. As soon as the head of the bone has been dis-articulated the posterior muscular attachments are severedand the limb is removed. The femoral artery and vein,the profunda, and descending branch of the external cir-cumflex should be ligated before the elastic constrictor is AMPUTATIONS AT THE HIP-JOINT. 535 removed. A number of muscular branches will after thisrequire ligation. Drainage should be introduced and the Fig. 439.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectbandagesandbandaging
