Surgical Operations Pt.2

Cover Surgical Operations Pt.2
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This flap should be from six to ten inches long, according to the size of the limb.
Fig. 220. — Formation of the anterior flap in disarticulation at the hip-joint, the assistant controlling the vessels by pressure.
The next step of the operation consists in disarticulating the joint.
The limb is forcibly extended and rotated outwards, and the knife drawn transversely across the capsule and the muscles on both sides. The head will start fonvard, and the ligamentum teres can be divided, if presen
...t, from the inner side. To do so the point of the knife should be introduced at the notch of the acetabumm,the head of the femur being rotated outwards, and AMPUTATIONS.
267 the limb abducted. The operator having seized the head with his left hand and pulled it forward, divides the posterior part of the capsule, and the limb being rotated inwards slightly, the muscles inserted into the great trochanter are severed by transverse incisions cutting close to the bone.
The head and great trochanter are in this way completely freed, and the limb being held straight, the operation is completed by cutting downwards and outwards with the amputating knife, the skin being divided about two inches Fig.


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