. Manual of operative surgery. g about i inch of each bone. When healing took place, a paddedring was applied around the stump just above the two fragments of radiusand ulna, and after a little practice the patient was able to voluntarily flex thefingers of an artificial hand by means of cords attached to the padded power was obtained by the flexors and extensors pulling upward the knobbystump and with it the padded ring (Fig. 1441 shows De Francescos patientenjoying himself). Vredene (Roussky Bratch., ref. Journ. de Chir., i. No. 2) used Vanghettismethod successfully in a case of amp


. Manual of operative surgery. g about i inch of each bone. When healing took place, a paddedring was applied around the stump just above the two fragments of radiusand ulna, and after a little practice the patient was able to voluntarily flex thefingers of an artificial hand by means of cords attached to the padded power was obtained by the flexors and extensors pulling upward the knobbystump and with it the padded ring (Fig. 1441 shows De Francescos patientenjoying himself). Vredene (Roussky Bratch., ref. Journ. de Chir., i. No. 2) used Vanghettismethod successfully in a case of amputation of the hand just in front of thecarpus. The superficial flexor tendons of the hand, exposed through an incisionin the lower part of the forearm, were divided transversely at the lower part ofthe wound, and their proximal stumps sutured to the deep flexors (Fig. 1442).The tendon loop can readily be enveloped in skin flaps, the pedicles of whichmay be divided after the lapse of about two weeks. In Vredenes case exercises. Fig. 1440.—Cinemalic apparatus. CINEMATIC AMPUTATIONS I167 were begun after about one month, and the tendon loop was able to exert a pullof 12 pounds. An artilkial hand was constructed and its movable thumb, middle


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