. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, tion of distal phalanx. i^Smith.) base of the distal phalanx (Fig. 389), and also that the foldson the palmar surface of the finger do not correspondexactly to the joints (Fig. 390). Amputation of the Finger through the Metacarpo-phalangeal Articulation.—In this variety of amputationan incision is made from a point on the dorsal surface ofthe
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, tion of distal phalanx. i^Smith.) base of the distal phalanx (Fig. 389), and also that the foldson the palmar surface of the finger do not correspondexactly to the joints (Fig. 390). Amputation of the Finger through the Metacarpo-phalangeal Articulation.—In this variety of amputationan incision is made from a point on the dorsal surface ofthe metacarpal bone a quarter of an inch above the articu-lation, which is carried through the interdigital web andback upon the palmar surface to a point a quarter of an inchabove the flexor fold (Fig. 392, C). A similar incision be- 492 AMPUTATIONS. ginning and ending at the same points is made upon theopposite side of the finger. The flaps are dissected back,and the lateral ligaments, tendons, and remainder of thecapsule are divided (Fig. 391). The finger may also beamputated at the metacarpo-phalangeal joint by makingan incision on one side and dissecting the flap back to thejoint, then dividing the lateral ligament, opening the joint Fig. Racket-shaped incision for amputation of the finger at the metacarpo-phalangeal joint. (After Rotter.) and carrying the knife across this, dividing the tendonsand lateral ligament on the other side and cutting a flapfrom within outward. Kemoval of the head of the metacarpal bone if desiredmay be accomplished by the use of cutting pliers () ; but, as a rule, this procedure is not to be recom-mended, for, although the deformity is lessened, thestrength of the hand is diminished. AMPUTATIONS OF THE METACARPAL BONES. 493 In amputating the little and index fingers a full lateralflap may be cut on the free side, and an incision is nextcarried across the palmar surface to the angle of the web,and thence back to the joint, which is op
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
