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Dublin quarterly journal of medical science (1859)
Dublin quarterly journal of medical science - 1859 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: discharge tl1j ties of his office it is essential he YAe tx vrrite : s he can do, quite well enough to a. oton. I eih offer another word of comment; owig e... more »xposition attegt tj, e vajue Of tj, e operation, hveVitViographed letter (see Plate L). advantages which my new operation for excision -wnat-oiiH and carpus possesses over every other are thus expressed : -- " The operation which I think best suited to those cases is the one which I put in practice myself. It meets every objection which has been urged against the measure, and to which I have already alluded. Mr. Stanley's operation is somewhat similar; but mine is superior, inasmuch as the tendons of the muscles of the thumb are not divided or disturbed from the soft tissues which immediately surround them, and are thereby protected from sloughing and death; so that all the motions of the member in its integrity can be preserved. No doubt, after excision of the wrist-joint and carpus, much motion cannot be expected; a firm fibro-ligamentous structure fills up the place of the removed bones, and fuses the surrounding textures into its dense tissue, and mats all together. But, according to my views, the hand may be retained nearly as useful as ever; the fingers being kept semi-flexed during the process of repair, they retain this position, and the thumb, being preserved perfect in its motions, readily approximates either of the fingers, so that the hand can be applied to its most delicate uses, such as writing, sewing,« less