Operative surgery, adapted to the living and dead subject / by C.F. Maunder.

Date:
1860-1861
Catalogue details

Licence: Public Domain Mark

Credit: Operative surgery, adapted to the living and dead subject / by C.F. Maunder. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Seize now the tipper end of the portion of ulna to be removed with a pair of forceps, dragging upon the same, and dividing all remaining attachments short of the articular fibro-cartilage and external lateral ligament of the wrist-joint. By these means the fragment of bone will hang out of the wound, when the application of the bone forceps to the root of the styloid process will complete the separation without opening the wrist-joint. The triangular fibro-carti- lage being attached to the base of the styloid process, the non-removal of the latter secures the integrity of the wrist-joint. The wound may be closed in the usual manner. Excision of the Wrist-joint, fyc.—This articulation may be removed with a view to saving the hand, by various incisions; as a curved incision with con- vexity downwards across the back of the wrist from one styloid process to the other, dividing tendons as well as integuments. The semi-lunar flap is dissected up; and the joint having been opened, the diseased portions of bone can be readily removed, but at the expense of the extensors of the fingers. It is desirable to maintain the extensors of the thumb and fingers uncut; and with that view, the articulation may be removed by two lateral incisions, one along the inner border of the ulna, as already described, and a similar one along the border of the radius, to one or both of which perpendicular cuts a short transverse incision may, if deemed necessary, be added opposite to the joint, so as to form a small