. Annals of surgery . Fig. 7C.—Shows padded traction bar 1metal KUtif. the traction wire HENRY H. M. LYLE aggravates the condition. If you cannot amputate tluDugh healthy tissue it isbetter surgery to leave these fingers alone until the pain disappears. Trcatuicnt of Mutilations of the Hand.—Partial amputations of the handare of infinite variety, frequently atypical, and often complicated hy con-tractures and impotent fingers. We will confine ourselves to a few general principles and take up more indetail the mutilations of the thumb and their plastic repair. In partial ampu-tations of the han
. Annals of surgery . Fig. 7C.—Shows padded traction bar 1metal KUtif. the traction wire HENRY H. M. LYLE aggravates the condition. If you cannot amputate tluDugh healthy tissue it isbetter surgery to leave these fingers alone until the pain disappears. Trcatuicnt of Mutilations of the Hand.—Partial amputations of the handare of infinite variety, frequently atypical, and often complicated hy con-tractures and impotent fingers. We will confine ourselves to a few general principles and take up more indetail the mutilations of the thumb and their plastic repair. In partial ampu-tations of the hand, the object is to try and utilize to the best possible advantagethose structures which are intact, or are capable of being made to function. Fig. 7D.—Short splint, elbow fr. i attached tuala and only to have recourse to a prothesis when it can aid the remainingfunctioning structures. Good looks and function often go together, but ifnecessary good looks must be sacrificed to good function, the only criterion ofsuccess in the hand being restoration of function. As the strength of the palm depends on the integrity of the relationshipof the metacarpals, it is essential to preserve the heads in all metacarpo-phalangeal amputations. The unnecessary sacrifice of such an importantkeystone is hardly justified by the excuse that soft parts are scanty, as a flapcan be readily obtained from the chest or abdomen. To sacrifice it for thesake of improving the symmetry of the hand is a serious error. A primarycomparison of the symmetry of such hands will be in favor of the hand inwhich the head has been excised. If the same comparison is made six toeight months later, it will be noticed that the atrophy of the bone and sur- 832 TREATMEN
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
