A Manual of Surgery, for Students And Physicians

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Grafts from a recently amputated limb and froni lower animals also have been tried. (5) Suture a distance (Fig. 147) is useless unless the "distance" is very short.
(6) Tubulization consists in placing each end of the nerve in an ex- cised segment of the vein, a segment of formalinized artery, a tube composed of fascia, decalcified bone, or other material, to prevent the intervention of surrounding structures. In nine cases of tubu- lization in animal experimentation the result was "good" in on
...e, "fair" in one (Lewis). If the patient has had an infected wound neurorrhaphy should not be performed until the wound has been healed for several [months, because of the danger of mobilizing NERVES 349 latent bacteria. Before and after operation overstretching of par- alyzed muscles should be prevented by splints or braces, and mas- sage, electricity, and passive motions used as long as the paralysis continues. If the operations listed above are inapplicable the function of the part may sometimes be improved by tenoplasty, myoplasty, or the adjustment of orthopedic apparatus.

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