A Manual of surgical treatment v.3, 1899-1903, Volume 3Lea Brothers & Company, 1900 |
Veelvoorkomende woorden en zinsdelen
abscess acute adhesions affected amputation apparatus applied artery articular aseptic axilla bandage bone cavity cicatrix clavicle compound fractures condyle considerable coracoid process Croft's splint deformity direct violence disease displacement divided drainage tube dressing elbow employed epiphyseal extension fastened femur fibula fingers fixed flap flexed foot fore-arm fractured ends healing humerus inches incision injury joint knee knife lateral limb line of fracture lower end lower fragment massage metacarpal metacarpal bone method muscles necessary oblique occur olecranon operation osteo-myelitis outer passive movement patella patient periosteum periostitis plaster of Paris portion position posterior Pott's fracture pressure prevent pulled removed result rickets right angles scapula seat of fracture sepsis septic sequestrum side simple fracture skin soft splint stitched strapping stump suppuration surface surgeon taken tendons thigh tibia tissues transverse treatment tuberculous tumour ulna union upper end upper fragment usually vertical vessels weeks whilst wire wound
Populaire passages
Pagina 259 - The tendinous insertions of the capsular muscles, the long head of the biceps, and the capsule are next divided by cutting directly on the tuberosities and head of the bone ; and the broad subscapular tendon especially, being very fully exposed by the incision, can be much more easily and completely divided than in the double flap method.
Pagina vii - We have assumed that the reader is familiar with the nature and diagnosis of the disease, and we only refer to the pathology and symptoms in so far as it is necessary to render intelligible the principles on which the treatment is based, and the various stages of the disease to which each particular method is applicable.
Pagina 260 - I n regard to the axillary vessels, they can either be compressed by an assistant before completing the division of the soft parts on the axillary aspect, or, as I often do in cases where it is wished to avoid all risk, by a few touches of the bistoury...
Pagina 259 - ... the posterior border of the axilla. Unless the textures be much torn, I next mark out the line of the lower part of the inner section by carrying an incision through the skin and fat only, from the point where my straight incision terminated, across the inside of the arm to meet the incision at the outer part. This insures accuracy in the line of union, but is not essential.
Pagina 284 - ... by carrying the knife at an angle of forty-five degrees to the axis of the leg through the skin and fat. The limb being elevated, he dissects up the posterior skin flap, and then proceeds to raise the ring of integument as in a circular operation, taking due care to avoid scoring the subcutaneous tissue...
Pagina 288 - When two are made, each should equal not less than one-fourth of the circumference of the limb at the point where the bone is to be divided...
Pagina 260 - By keeping the large posterior flap out of the way by a broad copper spatula or the fingers of an assistant, and taking care to keep the edge of the knife close to the bone, as in excision, the trunk of the posterior circumflex is protected.
Pagina 284 - The limb being elevated, he dissects up the posterior skin flap, and then proceeds to raise the ring of integument as in a circular operation, taking due care to avoid scoring the subcutaneous tissue ; and, dividing the hamstrings as soon as they are exposed, and bending the knee, he finds no difficulty in exposing the upper border of the patella. He then sinks...
Pagina 284 - ... care to avoid scoring the subcutaneous tissue ; and, dividing the hamstrings as soon as they are exposed, and bending the knee, he finds no difficulty in exposing the upper border of the patella. He then sinks his knife through the insertion of the quadriceps extensor, and having cleared the bone immediately above the articular cartilage and holding the limb horizontal, he applies the saw vertically and at the same time transversely to the axis of the limb (not of the bone), so as to ensure a...
Pagina 259 - Supposing the right arm to be the subject of amputation. The arm being slightly abducted, and the head of the humerus rotated outwards if possible, with a broad strong bistoury I begin by cutting down upon the head of the humerus, immediately external to the coracoid process, and carry the incision down, through the clavicular fibres of the deltoid and pectoralis major, till I reach the humeral attachment of the latter muscle, which I divide. " I then, with a gentle curve, carry the incision across...