. Medical and surgical therapy . Fig. 10.—Lateral wound of the posterior tibial by a grenade-,splinter. The spHnter is seen lodged in the wound, which ifoccludes. (Authors case.) remains fixed in the wall of the vessel. Fig. 10 showsa small grenade-fragment impacted in the lumen ofthe posterior tibial artery, the case having shownno symptom of arterial injury. On opening up thewound I came upon the posterior tibial, and foundthe splinter fixed in its wall. More or less extensivelateral tears, which may even amount to completerupture, are sometimes observed ; or there may betrue perforation. Th


. Medical and surgical therapy . Fig. 10.—Lateral wound of the posterior tibial by a grenade-,splinter. The spHnter is seen lodged in the wound, which ifoccludes. (Authors case.) remains fixed in the wall of the vessel. Fig. 10 showsa small grenade-fragment impacted in the lumen ofthe posterior tibial artery, the case having shownno symptom of arterial injury. On opening up thewound I came upon the posterior tibial, and foundthe splinter fixed in its wall. More or less extensivelateral tears, which may even amount to completerupture, are sometimes observed ; or there may betrue perforation. This last, however, is obviouslya rare lesion, since it implies a very small splinter 8 WOUNDS OF THE VESSELS and a large vascular trunk. I have seen it (fig. 11)in the carotid trunk, which was perforated through.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918