. 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, eps is divided, and its attachment to the fasciaand perio-teum over the olecranon process is separatedwith an elevator or periosteotome and turned downward :the joint is next opened and the lateral ligaments dividedas the forearm is flexed upon the arm. The upper partof the ulna and the head of the radius are freed with aprobe-pointed knife a
. 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, eps is divided, and its attachment to the fasciaand perio-teum over the olecranon process is separatedwith an elevator or periosteotome and turned downward :the joint is next opened and the lateral ligaments dividedas the forearm is flexed upon the arm. The upper partof the ulna and the head of the radius are freed with aprobe-pointed knife and removed with a narrow-bladedsaw, care being taken in making the section of the radiusto divide its neck so that the attachment of the bicepsmuscle is not interfered with. The condyles of the humerusare next freed and removed with a saw. In freeing thebones at the anterior portion of the joint, great care should 538 EXCISIONS OE RESECTIONS. be used to avoid injury of the brachial artery and veinand the median nerve. Fig. 446. Incision for excision of the elbow-joint. (Stimson.) Resection of the Radius or Ulna.—The radius orulna may be resected, either entirely or partially, by mak-ing an incision upon the back of the forearm over the Fig. Resection of the lower end of the radius. bone to be removed; the bone being exposed, the perios-teum is separated with an elevator and the bone divided EXCISION OF 1JII-: WRIST. 539 with a saw, and cadi fragment lifted and separated fromits muscular attachments up to the point where it isdesired to remove it (Fig. 447). If the articular surfaceof the bone is to be removed, the disarticulation should hemade carefully with a strong scalpel or a probe-pointedknife, care being taken t avoid injury of the vessels andnerves lying upon its palmar surface. Excision of the Wrist.—The wrist is covered on itsposterior and lateral aspects with skin, fascia, and tendons; Fig. 443.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
