INTRA-UTERINE AMPUTATION

(AFTER SIMPSON.) ° ‘ , an amniotic band; B, the uncicatrized central ‘portion of the face of a stump; c, n dense fibrous cord leading to d, the foot arrested in its development, arms im Gelenke. A. at the elbow joint. [A, 389.]—Humeroscapular a. A. at the sHoulder joint. —Humero-ulnar a. A. at the elbow joint. [A,391.]—Inmmediate a. Fr., a. immédiate. One done within the first few (from six to twelve) hours after the injury, 7. e., before the reaction from shock is established [A, 391]; accord: ing to most French authors, one done within twenty-four hours after an inj [A, 278].—Intermediary a., Intermediate a. Fr., a. intermédiaire. Syn.: mediate a, An a. done during the period of traumatic fever, after inflammation has begun and before [A, 891; E.]—Int erp hah alan geal a.—Intra-uterine a. Fr., the occurrence of healthy Su ppuretons langeal a. See Phalango-pl a, intra-utérine (ou spontanée, ou congénitale). Ger., angeborene (oder spontane) A., Selbstamputation. Syn.: spontaneous (or congenital)a, A. occurring in the fœ- tus as the result of constriction by a coil of the umbilical cord on by amnic he nds of lymph. It may be complete or partial, or there may be simply arrest of development. In some cases realmente of ene separated _ pa are reproduced on the stump. [A, 69; Montemery *Dub- LARREY’S AMPUTATION. (AFTER SEDILLOT AND in Quart, Jour. LEGOUEST.) of Med. Sci.,” i, 1839 Chea (Ger.). A flap a.—Larrey’s a. An oval a. at the shoulder joint devised by Baron Larrey. An incision is made from the acromion to a point 2 inches below, from which point an anterior and a posterior spiral incision are carried down the arm, meeting on its inner aspect. After the disarticulation of the bone, the flap is brought up and secured in the space made by the gaping of the first incision. [E, 2. h Cf. Spence's a.—Lee's a. A modification of Teale’s a. in which the long flap is taken from the posterior aspect of the limb. [H. Lee, “Trans, of the Roy. Med. and Chir, Soe.,” 1865 (E).J—Le Fort’s a. Fr. a. ostéoplastique tibio-calcanéenne. Syn.: osteoplastic tibio-caleanear y the a. A modification of Pirog off’s a., characterized rani section of the os calcis being more nearly horizontal (all the upper part of the bone being removed, beginning at the insertion of the ten do A chillis), so that the face of the stump is covered with the original thick ti ue of the are of the heel, which is better suited to bear the weight of the body in walking. [J. Ashhurst, Jr. (A, 277).|—Lisfrane’s a. 1. A partial a. of the foot through’ the tar so-metatarsal joints. 2. An a. at the shoulder joint by external and internal flaps made by transfixion. In ore rating on the left shoulder, the transfixion is accomplished by entering the knife near the posterior fold of the axilla, and making it pa close to the outer aspect of the joint and emerge between the coracoid proce and the clavicle. On the right side, the direction of the transfixion is reversed, After disarticulation of the head of the bone, the inner flap is cut from within outward. [F, 2.]— Lister’s a. A double rectangular flap a., in which the difference in the length of the flaps is not so great as in Teale’s, but onlyænfficient to make the cicatrix come just beyond the edge of the bone. e angles of the flaps are somewhat rounded off, and. the posterior one consists of skin and fascia only. In the thigh and leg, the lon; flap should equal in lengtl one third of the cireumference of the limb, and the other should be of half. that length. [J. Ashhurst, Jr. (A, 877).J—Long and short rectangular flap - a, Fr., a. à deuxlambeaux rec tan gula ires inégaux. See Teale’sa.—Major a. Fr., grande a. Ger., gré ere A. ‘An a. of the thigh, leg, arm, or forearm, or at the hip, shoulder, Knee, or elbow joint.—Malgaigne’s a. See A. en raquette and Sub a strag alar a.—Mediate a. Fr., a.médiate. See Intermédiary a.—Medio-tarsal a. Lat., exarticulatio in medio tarsi. Fr., a. médio-tarsienne. It., am put azione medio-tarsica. 1. LISFRANC’S AMPUTATION AT THE SHOUL- DER JOINT. (AFTER SÉDILLOT AND LEGOUEST.) O. no; 0%, not; O08, whole; Th, thin; Th, the; U, like 00 in too; U2, blue; U3, lull; U4, full; U5, urn; U*, like ü (German). Chopart’s a. (q. v.). 2. An a. through the tarsus differing from Chopart's in that the scaphoid bone is preserved, [A, 278.|—Metacarpal a. An a, in the continuity of the metacarpal bones.--Meta-