Plastic surgery; its principles and practice . e position assumed to bring theflap into the defect. The pedicle of the flap was close to the foot. Photograph takentwenty months after transplantation of the flap. The area from which the flap was takenhad been grafted. Note this area and its relation to the flap. 3. The flap in positiontwenty months after transplantation. The skin of the flap is normal in appearance. Theflap is soft, movable, and is on the level with the surrounding skin. All pain has disap-peared and the result is satisfactory. Sometimes the pad under the heel alone is destroye
Plastic surgery; its principles and practice . e position assumed to bring theflap into the defect. The pedicle of the flap was close to the foot. Photograph takentwenty months after transplantation of the flap. The area from which the flap was takenhad been grafted. Note this area and its relation to the flap. 3. The flap in positiontwenty months after transplantation. The skin of the flap is normal in appearance. Theflap is soft, movable, and is on the level with the surrounding skin. All pain has disap-peared and the result is satisfactory. Sometimes the pad under the heel alone is destroyed, or a portionof the sole. In all of these situations I have been able to supply athick pad from the other leg. and in this way a useful weight-bearingfoot has been made. 7o8 PLASTIC SURGERY Unless a pad can be supplied when the soft tissue of extensive areasof the sole has been destroyed, it is advisable to amputate. An arti-ficial foot will be infinitely more useful than one which causes exquisitepain whenever any weight is placed upon Fig. 848.—Schematic drawing to show the aperiosteal method of treating the bonein amputation stumps.—i. The periosteum. 2. The bone. 3. The marrow. Notethat the periosteum and bone marrow are removed from the bone for the same distance,actually about i. cm. (% inch) from the saw line. AMPUTATIONS The Aperiosteal Method of Treating the End of the Bone in Ampu-tations.—^When amputation has been necessary either as a primary
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
