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Updated: May 25, 2025
The injured limb is rendered useless for progression, as it suddenly gives way whenever the knee is flexed. Treatment is conducted on the same lines as in transverse fracture of the patella; in the majority of cases the continuity of the quadriceps should be re-established by suture within five or six days of the accident. The limb should be put up with the knee flexed and the toes pointed.
The edges of the wound were brought into apposition by sutures, and after the removal of the latter perfect union and complete restoration of the sensation of taste ensued. Franck mentions regeneration of a severed tongue; and Van Wy has seen union of almost entirely severed parts of the tongue. De Fuisseaux reports reunion of the tongue by suture after almost complete transverse division.
There are, further, the suture wires in the knee-caps; Sir Morgan Bennett, having looked up the notes of the operation, informs me that he introduced three suture wires into the left patella and two into the right; which is what the skiagraph shows. Lastly, the deceased had an old Pott's fracture on the left side.
There now begins a growth of the septum by which its edges become sharply corrugated, and the suture, or line of juncture of the septum and the shell, is thus angled. VERTEBRATES. It is with the greatest interest that we turn now to study the backboned animals of the Devonian; for they are believed to be the ancestors of the hosts of vertebrates which have since dominated the earth.
Before 1789, the ignorant or indifferent Catholic, the peasant at his plow, the artisan at his work-bench, the good wife attending to her household, were unconscious of this innermost suture. Thanks to the Revolution, they have acquired the sentiment of it and even the physical sensation.
In the large veins, such as the internal jugular, the femoral, or the axillary, it is usually possible to suture the opening in the wall. This does not necessarily result in thrombosis in the vessel, or in obliteration of its lumen. When an artery and vein are simultaneously wounded, the features peculiar to each are present in greater or less degree.
He then made an incision, about five inches in length, through the skin and walls of the abdomen, midway between the pelvis bone and the last rib on the left side, passing in his right hand, cutting away the ovaries from the Fallopian tubes with the thumbnail. The opening on the side was then closed by means of the interrupted suture.
"The extreme length of the skull is 7.7 inches, and as its extreme breadth is not more than 5.25, its form is decidedly dolichocephalic. The transverse arc from one auditory foramen to the other across the middle of the sagittal suture measures about 13 inches.
The 4th, 5th, and 6th ribs and cartilages are divided and the outer cutaneous flaps turned up; pushing aside the pleura with the finger, expose the pericardium and incise it longitudinally; suture the heart-wound by interrupted sutures. Del Vecchio adds that Fischer has collected records of 376 cases of wounds of the heart with a mortality two to three minutes after the injury of 20 per cent.
Nephrorrhaphy is an operation in which a movable or floating kidney is fixed by suture through its capsule, including a portion of kidney-substance, and then through the adjacent lumbar fascia and muscles. The ultimate results of this operation have been most successful. Nephrolithotomy is an operation for the removal of stone from the kidney.
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