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Ligations and Amputations

Ligations and Amputations


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About the Book

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1917 edition. Excerpt: ...section in three stages without disarticulating. 1. Divide the tendons behind the external malleolus. 2. Divide the tendo Achillis. 3. Divide the tendons and vessels behind the internal malleolus. It is best to get into the way of ending on the inner side, because it is in this position that the posterior tibial artery is cut across, and a copious flow of blood results. The operation figured is that practised on the left foot, in the following order, commencing to the right: --1. Leg horizontal, the external malleolus is freed. 2. Leg raised to assist in dividing the tendo Achillis, foot held by an assistant. 3. Leg horizontal again, the internal malleolus is freed, the assistant still holding the forepart of the foot. The order is the same when operating on the right side, but in this case beginning to the left. Such being the order of the manipula-F, -g. 224. tions (which are excellent for training the hands), they will now be described in detail. 1. External Zl/Ialleolus (to the operator s right).--Incline the foot to-the left with the left hand, and insinuate the blade of the knife, horizontally and on the flat, along the anterior border of the malleolus, between the skin and bone, the edge to the right. Now with small sawing movements pass from left to right, rounding the slight con. vexity of the bone, until its posterior border is reached (Fig. 224). At this point the edge of the knife is felt to lose the support of the bone. Turning the blade through a right angle, cut on to the bone, close to and just behind its border, and divide the tendon sheaths perpendicular to the bone by drawing the knife longitudinally downwards as far as the wound extends. The blade is thus placed longitudinally between the bone and the anterior.


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Product Details
  • ISBN-13: 9781234255343
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 76
  • Spine Width: 4 mm
  • Width: 189 mm
  • ISBN-10: 1234255340
  • Publisher Date: 16 Jan 2013
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 154 gr


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