Lectures on orthopedic surgery : and diseases of the joints : delivered at Bellevue Hospital Medical College, during the session of 1874-1875 / by Lewis A. Sayre.

Lewis Sayre

Date:: 1885

Credit: Lectures on orthopedic surgery : and diseases of the joints : delivered at Bellevue Hospital Medical College, during the session of 1874-1875 / by Lewis A. Sayre. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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$Hueter, of Greifswald—viz., to remove the head of the first metatarsal bone subperiosteal])', under antiseptic precautions. She finally consented for me to perform this operation upon one foot only. The patient was then placed under an anaesthetic; I then took a strong scalpel and made an incision on the inner side Fig. 817. of the foot, over the head of and parallel with the long axis of the head of the first metatarsal bone, dividing at once the soft tissues and the periosteum; having done this, I detached the periosteum and ligamentous attachments from the head of the bone; then, passing the chain-saw between the first and second metatarsal bones, closely hugging the first, I sawed off the head of the bone. {See Fig. 317. The exact size of the bone removed ^is here shown.) Prof. Hueter leaves it to the choice of the operator whether he shall use the saw or the bone-forceps. I object to the forceps Fig. 310. in dividing or removing bone, as you cannot do so without more or less crushing the bone-tissue and consequent necrosis. A horse-hair drain was then placed in the cavity and the wound closed with sutures, bringing the toe into the normal position. The parts were then carefully dressed according to$