. Manual of operative surgery. Whether the transposition of the skin-flaps is ofmuch value or not, the method has given good results in the hands of Griffith,and in one case in which the author used it the result seemed excellent. Inmost cases, however, any attempt to transpose the skin-flaps is unwise, as theskin is so thin and ill-nourished that death of the flaps is very likely to ensue. 1240 CONTRACTURES Lotheissens Operaticn.—(Centralblatt f. Chir., 1900, No. 20.) Makethe curved incision a, b, c (Fig. 1589). Reflect the palmar flap thus the palmar aponeurosis. Extend the
. Manual of operative surgery. Whether the transposition of the skin-flaps is ofmuch value or not, the method has given good results in the hands of Griffith,and in one case in which the author used it the result seemed excellent. Inmost cases, however, any attempt to transpose the skin-flaps is unwise, as theskin is so thin and ill-nourished that death of the flaps is very likely to ensue. 1240 CONTRACTURES Lotheissens Operaticn.—(Centralblatt f. Chir., 1900, No. 20.) Makethe curved incision a, b, c (Fig. 1589). Reflect the palmar flap thus the palmar aponeurosis. Extend the fingers. Replace the flap. Withthe fingers extended there will be a small defect (.\b) where the edges of thewound do not come together. Apply sutures as shown in the figure. TheEsmarch bandage is used to permit of bloodless, careful dissection. Beforethe flap is replaced, hemostasis must be most carefully attended to, as a sub-cutaneous hematoma or the application of a compressive dressing endangersthe vitality of the
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