. I principi e la pratica della chirurgia. erior ernie crurali nerve più in avanti,in modo che la punta del coltello canpass in modo sicuro tra la testa di thebone e le navi. Un laccio emostatico essendo applicato lacoppia di aorta addominale e la femo-ral arteria compressa da anassistant come si passa sopra il brimof il bacino, l'operatore, holdingin la sua mano destra un dritto, single-Anatomia di hip-giunto, e guide per il coltello, refilato amputating coltello, avente dodici o quattordici pollici lama, intro-duces il suo punto appena sopra e un pollice nella parte anteriore del trochantermajor, il bordo del coltello in diretta

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. The principles and practice of surgery. erior crural nerve more forwards, so that the point of the knife canpass safely between the head of thebone and the vessels. A tourniquet being applied tothe abdominal aorta, and the femo-ral artery being compressed by anassistant as it passes over the brimof the pelvis, the operator, holdingin his right hand a straight, single-Anatomy of Hip-joint, and guides for the Knife, edged amputating knife, having a twelve or fourteen inch blade, intro-duces its point just above, and one inch in front of the trochantermajor, the edge of the knife being directed downwards, in the line ofthe axis of the limb. From this point the knife is made to penetratetransversely, and with a slight inclination backwards, so as to strike thehead of the femur in its upper half and near the upper margin of theacetabulum. By inclining the point also, as directed, a little back-wards, the head of the femur will be struck rather upon its outer aspect, and not upon its most prominent and anterior aspect. The point of. AMPUTATION AT THE HIP-JOINT. 377 the knife having entered the capsule, and penetrated slightly the headof the femur, will be arrested; the handle of the knife being carriedtoward the head of the patient, the point will descend over the headof the femur to the neck, cutting the capsule as it descends; thrustingthe point across the limb, it will penetrate in front of the neck, under the anterior portion of its capsule. Then elevating the handlein the direction forwards, as much as the skin and fascia lata will per-mit, and at the same time inclining the handle toward the head of thepatient, the point, under steady pressure, will continue to descend underthe ilio-femoral ligament, and the conjoined tendon of the psoas mag-nus and iliacus interims, and finally emerge well back and below thetuberosity of the ischium. With a sawing motion the surgeon enlarges the incision downwardsalong the front of the trochanter major and neck, until sufficient spa

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• bookcentury1800
• bookdecade1870
• booksubjectg
• booksubjectsurgery