File:Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons (1907) (14785169465).jpg

Identifier: postoperativetr00mors (find matches)
Title: Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons
Year: 1907 (1900s)
Authors: Morse, Nathan Clark. (from old catalog)
Subjects: Operations, Surgical. (from old catalog)
Publisher: Philadelphia, P. Blakiston's son & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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made by means of the saw; lastly,if only a thin shell of the cortex has been raised up along with the per-iosteum, the end of the bone is simply rounded off, while if a distantflap of bone (osteoplastic method) has been sawed up, the end of thebone must be sawed in a curved direction so as to fit it. The periostealor bony flap is sutured over the sawed surface of the bone to its periosteum.The stumps of the muscles or tendons are sutured to each other or tothe surface of the bone at a distance from the sawed surface. Lastly,the skin and fascia are sutured. But in cases in which a periostealflap, or a flap of bone and periosteum, cannot be obtained in normalrelation to the other soft parts, it is better to remove the periosteum en-tirely from the end of the stump, to scrape out the medullary cavity(according to Eiselberg and Bunge), and to round off the edges of thebone as dentists do. American surgeons, as a rule, now pay very little attention to the hard 394 POSTOPERATIVE TREATMENT.
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Fig. 125.—Illustrates Various Methods of Amputation. A, Circular amputation of thigh; a, saw line; B, amputation by equal flaps; b, saw line;D, posterior incision for disarticulation of hip; C, racket incision; E F and FG, racketincision of flap with circular method for muscles and bones; H, amputation of hip,equal flap method; K, Stephen Smith amputation at knee. AMPUTATIONS. 395 and fixed linos formerly laid down by surgical guidance in amputations.The paticular method of amputation adopted for any given case nowdepends not upon the surgeons predilection for any one form of incisionor kind of flap, but upon the actual condition of the parts; thus in rail-road injuries or amputations following injuries the main idea in the sur-geons mind is how to insure the best stump that shall be as useful aspossible. Not only will he save all that is possible of the limb, but willoften shape his flaps in an irregular manner so as to obtain a longer andmore useful stump. By the proper employment

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