Aphorisms for amputations; necessity for the operation; compression
of the femoral artery as it passes over the edge of the pubes; no
necessity for the tourniquet in great amputations; the hemorrhage
greater when a tourniquet is applied; use of the instrument after
amputation; old mode of performing circular amputations; nicking the
periosteum injurious; ligature of wounded vessels; bringing together
the integuments; dressing the stump; subsequent treatment. AMPUTATION
AT THE HIP-JOINT; injuries justifying the operation; case of Captain
Flack; wound of the principal artery, with fracture of the femur,
necessitates the operation; in malignant diseases of the femur, the
operation affords the only chance of success; amputation at the
hip-joint not to be done when the bone can be sawn through immediately
below the trochanter major, and there be sufficient flaps; mode of
operating; prior ligature of the femoral artery, by Baron Larrey; not
practiced in the British army; directions for operating; Professor
Langenbeck’s mode; Mr. Brownrigg’s; illustrative engravings; amputation
by the circular incision; secondary amputation; number of vessels to be
tied in primary and secondary operations; Mr. Luke’s amputation of the
thigh by the flap operation; protrusion of bone after the operation;
exfoliation from badly sawing or splitting the bone, or unduly
separating the periosteum. Bulbous enlargement of the divided nerve.
pp. 73-89