Author: Thomas F. Wood

Publisher: Forgotten Books

Published: 2016-12-19

Total Pages: 408

ISBN-13: 9781334689239

Excerpt from North Carolina Medical Journal, Vol. 19: January, 1887 Next, the point for operation being agreed upon, we must choose a special method of operating. For the leg we have a choice of many methods. Each surgeon can suit his fancy. Usually the method is determined by the kind of covering it will give the bones of the stump, or by the facility or celerity with which it can be executed, or by the evil consequences it enables us to avoid, or because of the like lihood of its yielding quick union. A purely circular incision, with tegumentary ap, used to be greatly in vogue, and is yet practiced by some. It is tedious to turn up the ap, like I do the cuff of my sleeve, and this cannot be done where the leg is muscular and conical. Such a ap comes together like the mouth of a purse, and this is pre ventive of union by the first intention. I never practice or recom mend such a method. I also am disposed to reject antero-posterior aps, whether tegumentary or in part muscular, for the edge of the cut tibia is apt to induce ulceration of the anterior ap, or the weight of the posterior ap prevents union. There is greater danger of necrosis of the bone and of a conical stump after this method. I rather prefer the lateral skin aps of equal size, or the hood-flap of Dr. Stephen Smith of New York. This latter, however, is not as easily turned up as are the lateral aps, and moreover, when the sutures are adjusted, it is found that there is a super uity of tissue, above and over the tibia, which rather opposes primary union, and does not readily permit of the covering adapting itself to the bones. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works."