Plastic surgery; its principles and practice . Fig. 163.—Distortion of the hand following a third degree burn in a child.—Xote theextreme extension of the little finger and of the first phalanx of the ring finger. Relief maybe obtained in such a case, after thoroughly loosening the fingers, either by the transplanta-tion of whole-thickness skin, or by the use of a pedunculated flap from the abdominal orchest Fig. 164.—Extensive scarring of both legs following a burn. Duration seven years. 1. The anterior aspect of both legs and thighs is covered with scar tissue which frequentlybreaks d
Plastic surgery; its principles and practice . Fig. 163.—Distortion of the hand following a third degree burn in a child.—Xote theextreme extension of the little finger and of the first phalanx of the ring finger. Relief maybe obtained in such a case, after thoroughly loosening the fingers, either by the transplanta-tion of whole-thickness skin, or by the use of a pedunculated flap from the abdominal orchest Fig. 164.—Extensive scarring of both legs following a burn. Duration seven years. 1. The anterior aspect of both legs and thighs is covered with scar tissue which frequentlybreaks down. On the inner side of the left leg a web of scar can be seen extending from themiddle of the thigh to the middle of the leg. This prevents full extension of the knee. 2. Posterior view. Xote the width of the left popliteal space. The back of the right thighand leg is covered with a thick irregular mass of scar tissue. 3. Result of removal of theweb on the left side, and the formation of a popliteal space by shifting inward a long doublepedicled flap of slightly involved skin from the outer portion of the posterior aspect of thethigh. The right popliteal space was improved by excision and grafting, but the result onthat side is not satisfactory. This is one of the cases in which extensive involvement withscar precluded the use of pedunculated flaps from the other leg or thigh. 2l6 PLASTIC SURGERY or bu
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
