Volume 1

The science and art of surgery : a treatise on surgical injuries, diseases, and operations / by John Eric Erichsen.

  • John Eric Erichsen
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: The science and art of surgery : a treatise on surgical injuries, diseases, and operations / by John Eric Erichsen. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    141/1274 (page 109)
    log It must be changed for a long amputating knife after the joint is opened. This method of operating is specially ada])ted to cases of disease, and more particularly of tumours of the humerus, by which the soft parts are stretched aad thinned. Amputation by antero-postcrior flaps, or Lisfranc's method, differs some- what from the operation described above. It is thus performed :—If it is the left arm that is to be removed, the Surgeon grasjjs the limb as near the elbow as possible, and carries it outwards nearly to a right angle with the trunk. He then inserts the knife immediately in front of the posterior fold of the axiUa, and passing it forwards so that it crosses the neck of the humerus at its posterior aspect immediately below the head, he makes the point emerge Fig. 51.—Aiuputatioii nt the Slioiilder by Speuce's Method. just in front of the acromion. The knife is next brought out in such a way as to cut a neatly rounded flap some four inches or more in length fi-om the posterior aspect of the limb. Tlie arm is then crossed over the body, the joint opened, and the operation finished in the same way as that previously described. In operating on the right side the transfixion is made from a point immediately in front of the acromion to the posterior border of the axilla. The great rapidity with which this operation can be performed caused it to be highly appreciated before the invention of chloroform. It leaves the scar, however, in a more exposed situation than when a ]mre deltoid flap is raised. Amjmtalion at ihp Shoulder hy the Oval Method—In cases in which, from the state of the bone, the manipulations necessary for amputation by transfixion are impossible, the method originally invented by Larrey, or some modification