Plastic surgery; its principles and practice . Fig. 846.—Construction of the sole of the foot, continued.—The result of the implanta-tions, taken one year after the final operation. The patient has been able to walk aboutwithout pain and has a useful foot. The scars between the flaps can be removed and thesoft edges of the flaps united, which will improve conditions. SURGERV OF THE LOWER EXTREMITY 707 lated flaps from the other leg fMaas. Ombredanne and others). Afterremoval of the scar, if the circulation of the bone seems poor, it isadvisable to chisel off the surface down to the spongy port
Plastic surgery; its principles and practice . Fig. 846.—Construction of the sole of the foot, continued.—The result of the implanta-tions, taken one year after the final operation. The patient has been able to walk aboutwithout pain and has a useful foot. The scars between the flaps can be removed and thesoft edges of the flaps united, which will improve conditions. SURGERV OF THE LOWER EXTREMITY 707 lated flaps from the other leg fMaas. Ombredanne and others). Afterremoval of the scar, if the circulation of the bone seems poor, it isadvisable to chisel off the surface down to the spongy portion, and toapply the flap directly to this area where the circulation is Fig. 847.—X-ray burn <:,: ::-e - .c .: :;ie f^iOt. Duration one year.— i. The conditionof the burnt area. Constant intense pain, and frequent breaking down were the principalcauses of complaint. The entire area was excised down to normal tissue. A pedunculatedflap from the back of the other leg was implanted. 2. The position assumed to bring theflap into the defect. The pedicle of the flap was close to the foot. Photograph takentwenty months after transplantation of the flap. The area from which the flap was takenhad been grafted. Note this area and its relation to the flap. 3. The flap in positiontwenty months after transplantation. The skin of the flap is normal in appearance. Theflap is soft, movable, and is on the level with the surrounding skin. All pain has disap-peared and the result is satisfactory. Sometimes the pad under the heel alone is destroyed, or a portionof the sole. In all of these situations I have been able to supply athick pad from the other leg. and in thi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
