The Homeopathic Practice of Surgery, Together with Operative Surgery (Volume 1-2) (Paperback)

This historic book may have numerous typos, missing text, images, or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1855. Not illustrated. Excerpt: ... THE THUMB .is amputated between the joints, or at either of the two Fig. 92. philangeal joints, in the same manner as the fingers. (See Fig. 92, and directions for Amputation Of The Fingers.) For the carpo-metacarpal Amputation Of The Thumb, begin an incision on the back of the hand a little above the upper extremity of the metacarpal bone of the thumb, continuing it down between the thumb and fore-finger. Introduce the point of a narrow bistoury or scalpel at the lower extremity of this incision, passing it up under the metacarpal bone, so as to bring the point out where the first incision began (see Fig. 93), with the edge looking towards the end of the thumb. Then cut outward and downward, so as to make a good flap from the palmar surface to Fig. 93. cover the part after the bone is removed. The bone can be readily separated from the trapezium and wholly removed. To arrest the hemorrhage, it will generally be necessary to take up one or more email arteries. Secure the flap in place by adhesive straps, apply your lint and bandage, and support the hand in a sling. (See Amputation Of The Arm.) directed towards the bone till it touches, then inclined over it and down again on the other side as far as possible. After the instrument is through, the edge is brought out, upwards and forwards toward the knee, so as to leave the anterior flap of the required length, according to the thickness of the limb. The knife is now entered again a little below the top of the former incision, passed behind the bone as close to it as possible, and brought out on the other side just below the former point of emergence. The potterior flap is then cut (in the direction represented by the dotted line, Fig. 94) a little longer than the anterior, as the flexor mus CHAPTER XIII....