Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


Amputation of the limb is reserved for grave cases, in which life is
endangered by toxaemia, which is attributed to the primary lesion. It may
be called for later if the limb is likely to be useless, as, for
example, when the whole shaft of the bone is dead without the formation
of a new case, when the epiphyses are separated and displaced, and the
joints are disorganised.


Flat bones, such as the skull or ilium, must be trephined and the pus
cleared out from both aspects of the bone. In the vertebrae, operative
interference is usually restricted to opening and draining the
associated abscess.

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