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.

    147/1274 (page 115)
    AMPUTATION OF TOES. tarsal bone, one inch in front of the tuberosity of the scaphoid It is then carried towards the dorsum of the foot, following the line of the articulation ; on reaching the dorsum it is curved sharply round into the line of the meta- tarsal bone, and the operation is finished as just described. If the disease be limited to the anterior part, the shaft of the bone should be cut across with a fine saw. This method has the advantage of leaving the sole uninjured. 2. The flap amputation is sufficiently explained by Fig. .55. It is far Fig. 55.—Amputation nf the Great Toe and its Jletatar.sal Bone by an Internal Flap inferior to that by the racket-shaped incision, as it leaves an unnecessary scar in the sole of the foot. The Metatarsal Bone of the Little Toe should be removed by a racket- shaped incision, so as to avoid wounding the sole. This is best done by entering the knife just behind the tubercle of the bone, carrying it forwards Fig. 5IJ.—Amputation of the Little Toe and its M ■tatavsal Honi; liy the Kncket-sliaped Incision, and inwards, in the line of its articulation with the cuboid, to the centre of the fourtli digital interspace, and thence forwards to the web of the toe ; the knife is next carried round the plantar surface of this, the incision being continued obliquely into that which has been made on the dorsum of the foot (Fig. no). The small fla]i tluis formed is well dissected down, the I 2