. Operative surgery. es and integu-ment, or of integument alone (Fig. (516), and can he made either by trans-fixion or division from without. If possible, a short convex flap is made onthe opposite surface of the limb. The doiihle-flap metliod is performed by transfixion, and includes themuscles down to the bone on either aspect of the limb (Figs. 480 and 481).The tissues to be transfixed are raised slightly by the left hand of theoperator, who then enters the point of the knife at the side nearest him-self, pushing it through slowly in close contact with the anterior surfaceof the bone, sligh
. Operative surgery. es and integu-ment, or of integument alone (Fig. (516), and can he made either by trans-fixion or division from without. If possible, a short convex flap is made onthe opposite surface of the limb. The doiihle-flap metliod is performed by transfixion, and includes themuscles down to the bone on either aspect of the limb (Figs. 480 and 481).The tissues to be transfixed are raised slightly by the left hand of theoperator, who then enters the point of the knife at the side nearest him-self, pushing it through slowly in close contact with the anterior surfaceof the bone, slightly raising the handle as it passes in front of the bone,thereby causing its point to emerge at the opposite side of the limb at apoint exactly opposite to that of entrance; the flap is then made by cut-ting with a sawing motion obliquely upward and forward. This flap ispulled backward by an assistant, and the knife is reinserted at the originalpoint of entrance, carried behind the bone, handle depressed to cause the.
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
