. Operative surgery. of the limb. Although the antero-posterior musculo-cutaneous-fiap method is the bestall-round plan of practice, still the circular, when performed with due con-sideration of the necessity of dividing the muscles according to their degreeof retraction, hence in an elliptical manner (Fig. 636, a), provides an excel-lent stump. It should not be forgotten that the transfixion methods severmuscles of unequal lengths and different degrees of contractility, therefore,unevenness of the flap is a natural consequence. AMPUTATION AT THE LOWER EXTREMITY. 539 The After-treat III ctit.—
. Operative surgery. of the limb. Although the antero-posterior musculo-cutaneous-fiap method is the bestall-round plan of practice, still the circular, when performed with due con-sideration of the necessity of dividing the muscles according to their degreeof retraction, hence in an elliptical manner (Fig. 636, a), provides an excel-lent stump. It should not be forgotten that the transfixion methods severmuscles of unequal lengths and different degrees of contractility, therefore,unevenness of the flap is a natural consequence. AMPUTATION AT THE LOWER EXTREMITY. 539 The After-treat III ctit.—Not a little of the success in amputation of thethigh depends on the after-treatment of the stump. It should he carefullysurrounded with antise])tic gauze l)0und in place with sufficient firmness tosupport the soft parts, eliminate dead spaces, and equalize the circulationof the stump. The dressing should be carried around the pelvis, to preventdisplacement and needless exi)osure of surfaces contiguous to the wound.
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
