. 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, Excision of a metacarpophalangeal joint. Excision of Metacarpophalangeal Joints or Inter-phalangeal Joints.—The metacarpophalangeal joint isexposed by a longitudinal incision over the dorsal surface 542 EXCISIONS OB RESECTIONS. of the knuckle; the extensor tendon being exposed andheld to one side, the lateral ligaments are divided. Thearticul
. 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, Excision of a metacarpophalangeal joint. Excision of Metacarpophalangeal Joints or Inter-phalangeal Joints.—The metacarpophalangeal joint isexposed by a longitudinal incision over the dorsal surface 542 EXCISIONS OB RESECTIONS. of the knuckle; the extensor tendon being exposed andheld to one side, the lateral ligaments are divided. Thearticular ends of the bones are then exposed and removedwith a metacarpal saw or with bone-forceps (Fig. 451).In excising the interphalangeal joints, the incision isusually made upon the side of the joint, and when thearticular surfaces of the bone have been exposed they areremoved with a small saw or forceps. Excision of the Clavicle.—The clavicle is excised bymaking an incision over the bone from one articulation to Fig. Resection of the sternal end of the clavicle. the other, which is carried directly down to the bone; theperiosteum is then separated, and the shaft of the bone maybe divided at the middle and each fragment raised anddisarticulated; or the bone may be disarticulated at oneextremity, then raised up and freed from its adherenttissues, and disarticulated at the other extremity. Indisarticulating the sternal articulation of the clavicle(Fig. 452), a probe-pointed knife should be used, andgreat care should be exercised to avoid injury of theimportant vessels and nerves which lie in close proximityto it. EXCISION OF THE SCAPULA. 543 Resection of the Ribs.—In this operation, the incisionshould correspond in length and direction with the portionof bone to be removed, and may be crossed at each end bya short transverse incision. The tissues overlying the ribare then dissected loose, the periosteum is separated as faras possible, the rib is divided with bone-forcep
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
