File:Text-book of operative surgery (1911) (14763446052).jpg

Identifier: textbookofoperat01koch (find matches)
Title: Text-book of operative surgery
Year: 1911 (1910s)
Authors: Kocher, Theodor, 1841-1917
Subjects: Surgical Procedures, Operative Surgery, Operative
Publisher: New York : Macmillan Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
Fig. 20i.—Skiagram, after subperiosteal amputation through tlie thigh. expressly state that even when the wound suppurates, good functional results are stillobtained by Bunges aperiosteal method. (2) Which method is the easiest and best adapted for inexperienced surgeons,e.g. in the field % Here also the answer is not difficult. The osteoplastic method(as can be seen in every operative course) is difficult, and requires practice and care.The aperiosteal method is the simplest and the most natural, inasmuch as the boneprojects free from periosteum. Bunges aperiosteal method should therefore be regularly employed for all amputa- 1 Wiener Min. Wochenschr., 1905, No. 51.22 a 340 OPERATIVE SURGERY tions through the shaft of a long bone. Wlien primary union is obtained, andconsequently the stump is at an early stage%ccustoined to bearing pressure, excellentresults are obtained. Bunge maintains that the functional results are also good even
Text Appearing After Image:
when no care is taken regarding the position of the scar and no special after-treatmentis adopted. If this were so, the measures for the subsequent u.tility of the stump that Hirschadopts, viz. massage, etc., would be superfiuous except in regard to its pressure- AMPUTATIONS AND DISARTICULATIONS 341 bearing function. It is better, however, not to couut 011 this, for there is no doubtthat, as regards tlie question of bearing pressure on the stunip, great care must bctaken to ensure tliat the cicatrix will not be exposed on the end of the linib, i.e. anoblique or Aap incision niust be used. We can only depart from this rule in the caseof a high amputation or disarticulation of the thigh, because then the artificial limbtakes its purchase from the pelvis. In every amputation the nerves must be cut short,in Order to prevent the possibility of their becoming adherent in the cicatrix. There are two points whicli must be observed in all amputations and disarticula-tions : first, to avoid a p

Note About Images