. Operative surgery. Fig. 485.—Improperly madeperiosteal flap. 460 OPERATIVE SURGERY. another it is with equal certainty the least efficient method of same may be said of any one method of performing amputation by thecutting of flaps. The main commendatory points in the selection of a method of ampu-tation are the following: 1. The method should be one attended with the. Fig, 486.—Instruments employed in Scalpels, h. Forcipressure. c. Thumb forceps, d. Curved and straight rongeurs, /. Lion-jaw forceps, g. Listons bone-cutting forceps. A. Aneur-ism
. Operative surgery. Fig. 485.—Improperly madeperiosteal flap. 460 OPERATIVE SURGERY. another it is with equal certainty the least efficient method of same may be said of any one method of performing amputation by thecutting of flaps. The main commendatory points in the selection of a method of ampu-tation are the following: 1. The method should be one attended with the. Fig, 486.—Instruments employed in Scalpels, h. Forcipressure. c. Thumb forceps, d. Curved and straight rongeurs, /. Lion-jaw forceps, g. Listons bone-cutting forceps. A. Aneur-ism needle, i. Rugine. /. Tenaculum. Ic. Lifting-back and Gigli-Haertels (page 50), needle-holders (page 100), needles, sutures, drainage, etc., arerequired. least sacrifice of the healthy tissues of the limb, while providing a goodand permanent covering for the bone. 2. One causing as small a woundarea as is consistent with its proper performance. 3. One securing a goodblood supply to the flaps and tissues which form the stump. 4. One fol-lowed by a well-adjusted and painless cicatrix. Therefore the line of coap- AMPUTATIONS. 461 tation should be so placed as not to interfere with the healing process, whilesecuring at the same time efficient drainage, and removing the cicatrix frompressure as far as possible when the stump is healed. 5. One providingeasy exposure
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