The practice of surgery . Fig. 680.—Results of amputation Fig. 681. -Hand after removal of above metacarpophalangeal articula- metacarpal bones and three fingers, tion (Erichsen). leaving thumb and Uttle finger (Erich- senj. It is better to scrape or trim off the synovial membrane, which isa structure of low vitality and subject to infection and necrosis, whichmay cause tedious wound healing. The thumb is best removed atan articulation by a single palmar flap without the preservation ofthe sesamoids, which belong to its short flexor. The figures in the text,taken from Roswell Parks Modern Surg
The practice of surgery . Fig. 680.—Results of amputation Fig. 681. -Hand after removal of above metacarpophalangeal articula- metacarpal bones and three fingers, tion (Erichsen). leaving thumb and Uttle finger (Erich- senj. It is better to scrape or trim off the synovial membrane, which isa structure of low vitality and subject to infection and necrosis, whichmay cause tedious wound healing. The thumb is best removed atan articulation by a single palmar flap without the preservation ofthe sesamoids, which belong to its short flexor. The figures in the text,taken from Roswell Parks Modern Surgery, illustrate the variousflaps employed. That writer reminds us of the useful suggestion of SPECIAL AMILTATIONS 991 Lauenstcin; when the first three fingers are to be removed, leaving onlythe thumb and Uttle finger, he makes a small, pioperly placed incisionwith cutting forceps, which divides the metacarpal bones of the thuml)and Httle finger at about the middle, and then, by giving these meta-carpals a little twist t
Size: 1003px × 2491px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
