Surgery; its theory and practice . r notched, or divided obliquely instead oftransversely, whilst the mass of muscle in the flap tends to prolongthe healing of the wound. These muscular flaps may be cut either2>Z* ( 785 ) 786 APPENDIX. from without inwards, /. e., from the circumference towards thebone, or from within outwards, /. e., by the method of whichever way the flaps are cut, and whether they consist ofintegimients only, or of integuments and muscle, they may as re-gards position be antero-posterior or lateral, or one may be antero-external and the other postero-inter
Surgery; its theory and practice . r notched, or divided obliquely instead oftransversely, whilst the mass of muscle in the flap tends to prolongthe healing of the wound. These muscular flaps may be cut either2>Z* ( 785 ) 786 APPENDIX. from without inwards, /. e., from the circumference towards thebone, or from within outwards, /. e., by the method of whichever way the flaps are cut, and whether they consist ofintegimients only, or of integuments and muscle, they may as re-gards position be antero-posterior or lateral, or one may be antero-external and the other postero-internal, or vice versa. As regardslength they may be equal, or one may be long, the other short; andas regards breadth they should be half the circumference of thelimb. As a rule they should be cut square, but with rounded following modifications of the flap operation may be brieflymentioned. Teaks method consists in making a long and short rectangularflap (Fig. 379). The long flap, which is generally anterior, or Fig. Tealcs amputation. (Bryants Surgery.) antero-external, is quadrilateral in shape, and its length andbreadth each equal to half the circumference of the limb; itincludes all the soft parts down to the bone. The short flap isposterior, or postero-internal; its length is one-fourth the anterior,and its breadth equal to half the circumference of the limb ; italso includes all the soft parts down to the bone, and contains thelarge vessels and nerves. When the operation is completed andthe wound closed, the stump presents the appearance shown inthe lower half of Fig. 379. The advantages claimed for Tealesmethod are : i. Freedom from tension. 2. A complete coveringfor the bone, free of large vessels and nerves ; and 3. A dependentposition of the wound. It is applirable to amputations throughthe leg, arm, forearm and lower third of the thigh. Gardens 7nelhod, designed for amputating through the con- SPECIAL AMPUTATIONS. 787 dyles of the femur, consists in re
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
