Early Elective Amputations

For gangrene, Celsus advised cutting between the sound and diseased part, but not through a joint, and Albucasis was prepared to amputate hands and feet but warned that amputation was perilous above the knee (see Chapter 6). One of the first to consider measured operative stumps of the lower limb, with a view to subsequent function with a prosthesis, was Paré who wrote when considering a gangrenous foot:

"Wherefore you shall cut off as little as that which is sound as you possibly can; yet so that you rather cut away that which is quick, than leave behind anything that is perished... For if you take these two things into your consideration they will induce you, in this propounded case and example, to cut off the Leg, some five fingers bredth under the Knee. For so the Patient may more fully use the rest of his Leg with less trouble, that is, he may the better go on a wooden leg; for otherwise, if according to the common Rules of Art, you cut it off close to that which is perished, the Patient will be forced with trouble to use three legs [one good leg and two crutches] instead of two."15

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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