Amputation; Artificial limbs; Orthopedics; Surgery, Military
_The leather-cutter's hand_ (Figs. 171 and 172) should be able to
hold the skin which the other hand cuts: it consists of a plate with
a rough surface fixed to a ball and socket joint which allows it to
turn in any direction, so that the other hand can follow the line to
be cut which is often sinuous. This appliance may also be used to hold
a drawing paper, a rule for cutting cardboard, or sheets of paper for
binding.
[Illustration: FIG. 171.--Leather-cutter's hand.]
The examples that we have chosen amongst Boureau's appliances for
craftsmen will, we believe, be sufficient to explain the principles
of their construction. These consist in studying the movements which
are normally carried out by the passive hand (usually the left hand,
but the right in left-handed people) and to devise an appliance
accordingly, the sound hand always becoming the active hand.
[Illustration: FIG. 172.--Leather-cutter's hand.]
We could have described many more examples, but we shall only say a
few words about the _mechanic's hand_, which is simply an adjustable
spanner which can be automatically closed, terminating in toothed
pliers to hold circular objects without the necessity for being
screwed up. As a matter of fact, in all the work of a mechanic
(sawing, filing, drilling, tightening screws, hammering, forging, and
grinding) the left hand is only used for picking up and steadying
the article to be manipulated. M. Boureau rightly considers that it
is better to entrust this rôle to the artificial hand rather than to
contrive to make the latter capable of sawing or of filing by means of
the devices which we shall describe further on (p. 121 and following),
ingenious and interesting though these may be.
From these appliances, adapted to certain particular grips, others
have been devised for chair caning, soldering, and for enabling
factory hands to work starting levers and brakes.
Thus each case must be studied separately and the workman furnished
with one or several appliances according to his needs, making the
necessary modifications from the existing patterns.
Several of these appliances are attached by a ball-and-socket joint
like that described for the leather cutter: this is an intermediate
form between the fixed appliance and the jointed appliances which will
be described later.
Boureau recommends that the length of the forearm should be such that
the artificial appliance reaches only as far as the level of the sound
wrist. The work will then gain in precision. We believe that this
principle holds good even for the true artificial hand, which should
be made 3 to 4 centimetres shorter than the sound hand. But it must be
realised that we shall be met with a difficulty, which we have already
experienced. Comments are made upon the appearance of the arm and the
wearer may sometimes be made to believe that this is due to faulty
construction.
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