. Manual of operative surgery. Fig. 1444.—(Ashhurst, Annals Surg.) Fig. 1445.—(Ashhurst, Annals Surg.) Step 4.—Divide the bone at the selected point and remove the limb. Step 5.—Make a small transverse incision through the skin on each sideof the upper end of the external longitudinal incision. This permits the skinof each flap to be wrapped round the corresponding muscles. Step 6.—Cover the end of the bone with the skin flap made in Step i. Sut-ure the end of the flexors to the end of the extensors and suture the end of theskin surrounding the flexors to that surrounding the extensors. Pass a


. Manual of operative surgery. Fig. 1444.—(Ashhurst, Annals Surg.) Fig. 1445.—(Ashhurst, Annals Surg.) Step 4.—Divide the bone at the selected point and remove the limb. Step 5.—Make a small transverse incision through the skin on each sideof the upper end of the external longitudinal incision. This permits the skinof each flap to be wrapped round the corresponding muscles. Step 6.—Cover the end of the bone with the skin flap made in Step i. Sut-ure the end of the flexors to the end of the extensors and suture the end of theskin surrounding the flexors to that surrounding the extensors. Pass a rubbertube through the loop thus formed. (Figs. 1444 and 1445.) Cinematic amputations have lost much of their desirabihty since Gamesdevised his artificial arms, by the use of which the author has seen a man, whohad lost both arms, pick coins off the floor, light his cigar with matches, shavehimself and carry a heavy suit-case. One patient whose arm was amputatedabove the elbow by the author, drives his own electric


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