Nélaton Method.
Israel Method.—From the ulnar side of the left forearm Israel cuts a skin flap, as shown in [Fig. 386], with its smaller end nearest to the wrist, where it is detached, the pedicle being broad, assuring of better nourishment to the flap.
The narrow end of the flap is cut down to the bone, then the sides are dissected up until the borders of the ulna are reached on both sides, reserving an adherent strip about eight millimeters wide and six centimeters long.
Fig. 386.—Israel Method.
The bone below this strip is now removed with the saw from the lower end upward, and ending about one centimeter beyond the base line of the flap, where the strip so made is left connected to the bone proper.
The flap is now raised gently and bent upward without breaking the bone. It is sawed half through, transversely, at a point corresponding to the lobule of the nose.
The flap is then enveloped in iodoform gauze, and the head, forearm, and arm are fixed in plaster of Paris, the forearm being bent at a right angle to the arm (see [Fig. 387]).
