The surgeon's handbook on the treatment of wounded in war : a prize essay . The patient is so placed, that half the pelvis on the injuredside projects beyond the lower edge of the table. The upper part ofthe body must be carefully fixed, and the scrotum drawn upwards /towards the opposite side (fig. 417). 2. After the limb has been made bloodless in the manner describedm pages 134—136, a large anterior flap is cut from within outwardsp the following manner. The operator enters the point of a long am-mtating knife (fig. 298) midway between the anterior superior sjiine of the ilium and the top o


The surgeon's handbook on the treatment of wounded in war : a prize essay . The patient is so placed, that half the pelvis on the injuredside projects beyond the lower edge of the table. The upper part ofthe body must be carefully fixed, and the scrotum drawn upwards /towards the opposite side (fig. 417). 2. After the limb has been made bloodless in the manner describedm pages 134—136, a large anterior flap is cut from within outwardsp the following manner. The operator enters the point of a long am-mtating knife (fig. 298) midway between the anterior superior sjiine of the ilium and the top of the trochanter. The point is carefullyglided over the head of the femur (by which the capsule is opened)in a direction parallel with Pouparts ligament; it is then turned down-wards and inwards, and made to pass out again on the inner side ofthe thigh close to the perinaeum (fig. 418). By carrying the knife down-wards in long sawing strokes, he cuts a well rounded flap, 18 — 20cmin length, which is immediately turned upwards and kept in that position. 230 Fig. Disarticulation at the hip with anterior and posterior flaps. Fig. 418.


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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884