Volume 1

A manual of operative surgery / by Sir Frederick Treves.

  • Sir Frederick Treves, 1st Baronet
Date:
1903
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: A manual of operative surgery / by Sir Frederick Treves. 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.

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    the articular end of the metacarpal bone is removed. Though this articulates by a separate joint, it may be affected, and the symmetry of the hand is promoted by reducing it to the same level as the other metacarpals. Lastly, the articular surface of the pisiform is clipped oft', the rest being left, if sound, as it gives insertion to the flexor carpi ulnaris, and attachment to the anterior annular ligament. After-treatment.—The wound must be well drained, be dressed with the most carefid antiseptic precautions, and the cavity of the wound be frequently washed out. The limb must be maintained upon a splint which will support the palm of the hand, will keep the wrist a little ex- tended, and the fin- m 180.—lister's splint fob excision of WEIST. gers a little flexed, Avhile at the same time it will not pre- vent movements of the fingers from being carried out. Lister's wooden splint with a cork pad is simple, and ansAvers Avell (Fig. 180). The splint used by Oilier is shown in Fig. 18]. It is made of wire, and when in actual use is lined with lint or cotton-wool. It has this advantage—that the supporting iron can be bent, and the position of the part therefore changed from time to time as the patient progresses. The wound, moreover, is more accessible. The thumb is apt to be dra^vn inwards to the index finger. This is prevented in Lister's splint by the use of a suitable pad. In Oilier s splint a wire loop (a) enables the thumb to be maintained in any position wished. There is a constant tendency for the hand to assume the position of adduction, and this is apt to become more marked some time after the splint has been removed. The limb will need to be maintained upon a splint for a considerable period, varying from two to six months, o o