On amputation by a long and a short rectangular flap / by Thomas P. Teale.

  • Teale, T. Pridgin (Thomas Pridgin), 1831-1923.
Date:
1858
Catalogue details

Licence: Public Domain Mark

Credit: On amputation by a long and a short rectangular flap / by Thomas P. Teale. Source: Wellcome Collection.

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    upper border of the patella, at which place the tendinous structures are to be cut direct to the thigh-bone. The flap is completed by cutting the fleshy structures from below upwards close to the bone. The posterior short flap, containing the large vessels and nerves, is made by one sweep of the knife down to the bone, the soft parts being afterwards separated from the bone close to the periosteum, as far upwards as the intended place of sawing. Fig. 2. The arteries being secured, the flaps may be united by suture immediately; or they may be lightly placed in apposition, the stump being wrapped in a fold of napkin for four or six hours, when any clotted blood may be gently removed by a sponge, and the flaps finally ad- justed. I prefer the latter method, as we thereby avoid the evil of infiltration of the tissues of the stump with blood, which often is the cause of suppuration in these parts.