A hand-book of surgery: with fifty illustrations . either removed or sawed through. The superior flap is made beforethe disarticulation, and the inferior one subsequently. AMPUTATION OF THE GREAT TOE. The most convenient mode of removing this toe is by incisionsrepresented by dotted lines in this figure. Commencing upon the inner side of the metatarsal bone, and[Fig. 41. running round the joint obliquely, taking care not to wound the anteriortibial artery. The flap is made fromthe outer side of the toe. It willcover the head of the metatarsal bonemore perfectly, and can be more rea-dily retain
A hand-book of surgery: with fifty illustrations . either removed or sawed through. The superior flap is made beforethe disarticulation, and the inferior one subsequently. AMPUTATION OF THE GREAT TOE. The most convenient mode of removing this toe is by incisionsrepresented by dotted lines in this figure. Commencing upon the inner side of the metatarsal bone, and[Fig. 41. running round the joint obliquely, taking care not to wound the anteriortibial artery. The flap is made fromthe outer side of the toe. It willcover the head of the metatarsal bonemore perfectly, and can be more rea-dily retained in its position than anyother. AMPUTATION AT THE SHOULDERJOINT. Hemorrhage is to be restrained bypressure with the fingers, or the handleof a key well padded, upon the subcla-vian artery, as it passes over the firstrib. The flaps may be cut by trans-fixion, or in the manner represented. AMPUTATION OF THE ARM. 115 in Fig. 42. The external flap should be made first, out of the del-toid, and then the head of the bone disarticulated. The internalflap is smaller, and made last^ in order that the vessel may be se-cured immediately upon the limb being some instances itmay be necessary to re-move the whole of thescapula, and one half ofthe clavicle. The ex-tent and character ofthe injury must oftendetermine the shape ofthe flaps. AMPUTATION OF THEARM. The circular opera-tion is most frequentlyperformed. The arteryis compressed by a tour-niquet or the fingers,and the skin drawn firm-ly back. One circularincision will divide theskin and fascia; anotherwill divide the muscles. Fig. 42.
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Keywords: ., bookcentury1800, bookdecade1850, bookpublishe, booksubjectsurgery
