Illustrated Manual of Operative Surgery and Surgical Anatomy

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H. Bailliere, 1855 - 513 páginas
 

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Página 59 - ... the palm of his left hand, the sole of the foot, his thumb being placed on the outer side of the proximal end of the fifth metatarsal bone, and the index finger at the internal extremity of the articulation. He then makes a semi-lunar incision with its convexity looking downwards, from without inwards, across the dorsum of the foot, passing about half an inch below the articulation, and extending from one of its extremities to the other down to the bones. 2d. The surgeon divides, with the point...
Página 60 - The knife is then carried up to a right angle, its point traversing the whole of the inner surface of the mortise, in order to insure the division of the interosseous ligament; it is then withdrawn, and applied to the external surface of the mortise. 4th. When this has been accomplished, pressure is made upon the metatarsus to separate the articular surfaces, and their remaining ligamentous attachments are successively divided, especially those on the plantar aspect of the articulation, so that the...
Página 498 - A Dictionary of Practical Medicine: Comprising General Pathology, the Nature and Treatment of Diseases, Morbid Structures, and the Disorders especially...
Página 52 - As the knife passes in the plane of its blade it should form an angle of thirty-five degrees with the axis of the shoulder, and its point should graze the posterior and external surface of the humerus, until it reaches the under surface of the acromion ; at this point the handle of the knife should be raised, and its point lowered so that it is brought out below and in front of the elaviele, u, in the triangular space between the, acromion and coraeoid processes, which is bounded posteriorly by the...
Página 7 - An incision, from two and a half to three inches in length, according to the muscular condition of the limb, is made precisely in the line of the artery (Fig.
Página 63 - ... over the trochanter and carries them outwards, in order to assist in the formation of the external flap, and the knife is carried downwards and outwards with a slightly sawing motion, around the great trochanter, and along the femur, cutting out a flap from three to four inches in length. The first flap being thus made, the operator, grasping the tissues on the inside of the thigh and carrying them inwards, introduces the knife below the head of the femur and on the inner side of its neck, holding...
Página 63 - As it enters, the point of the knife should pass round the neck of the femur, and come out at the lower angle of the wound already made, without coming in contact with the bones of the pelvis ; it is then carried downwards along the femur, and avoiding the lesser trochanter, so as to make an internal flap of the same length as the external. The flaps being drawn aside by the assistants, and the arteries tied, the surgeon grasps the femur with his left hand, and holding the knife perpendicularly on...
Página 494 - New edition (the third), pp. 1005, with five hundred Illustrations, price 30s. An Introduction to Clinical Medicine. Six Lectures on the Method of Examining Patients, &c.
Página 60 - ... 3d. The mortise in which the head of the second metatarsal is inclosed remains to be opened. This is effected by introducing the point of the knife between the internal cuneiform and the head of the first metatarsal bone, its edge being turned upwards, and making an angle of 45° with the axis of the foot. The knife is then carried up to a right angle, its point traversing the whole of the inner surface of the mortise, in order to insure the division of the interosseous ligament ; it is then...
Página 33 - Nelaton's guide, to detect any displacement of the femur at the hip joint, consists of a line drawn from the anterior superior spine of the ilium to the most prominent part of the tuberosity of the ischium.

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