. Operative surgery. -^ Fm. 580.—Making (lorwil flap. I^KJ. Making anU;rior flap. a,llowing lint (cndons to remain; (lex the earpus firmly, atid open the articu-bition, iiK in I hi eircular method; carry the blade of the knife through thea,r(,ienhi,tion (lig. ^31) arid mal<c the anterior flaj) by cutting downward andoutward. AMPUTATIONS. 479. Fio. 582.—Dubrueilsmethod. Radial flap. The Radial Flap (Dul^ruoil).—Make a flap beginning on the dorsal sur-face at a point just above the articulation and at the junctioji of tbe outerthird with tlic inner two thirds of that surface, and exten
. Operative surgery. -^ Fm. 580.—Making (lorwil flap. I^KJ. Making anU;rior flap. a,llowing lint (cndons to remain; (lex the earpus firmly, atid open the articu-bition, iiK in I hi eircular method; carry the blade of the knife through thea,r(,ienhi,tion (lig. ^31) arid mal<c the anterior flaj) by cutting downward andoutward. AMPUTATIONS. 479. Fio. 582.—Dubrueilsmethod. Radial flap. The Radial Flap (Dul^ruoil).—Make a flap beginning on the dorsal sur-face at a point just above the articulation and at the junctioji of tbe outerthird with tlic inner two thirds of that surface, and extending downwardtoward the thumb, crossing the middle of the metacarpal bone of that digittoward the palm, then curving upward and inward through the thenar emi-nence and terminating at a point on the palmar surface of the wrist directlyopposite the site of beginning (Fig. 532). Separatethe thuml) flap, connect the sides of its base by anincision carried transversely around the ulnar sideof the hand, draw the skin upward, open the jointas before, remove the carpus, and properly adjusttbe flaps (Fig. 533). The Remarks.—The pisiform bone is frequentlyremoved from the flaps. If the tissues are notimpaired by diseased or acute inflammatory pro-cesses, the sheaths of the tendons should be closedwith sutures, even including the ends of the ten-don
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
