. Text-book of operative surgery . Fig. 147.—Excisiou of os calcis. OPERATIVE SURGERY. Fig. 148. -Resection of the posterior tarsus(Kocher). sustentaculum tali. Lastly, the os calcis is seized with a streng pair of forceps, andthe internal lateral ligament of the ankle-joint, the subjacent calcaneo-astragaloidcapsule, and (anteriorly) the ligaments connectmg the tibia with the scaphoid andos calcis are detached. Landerer recommends a mesial longitudinal incision extending from the tendoAchillis over the heel into the sole of the foot. By this incision he removes not onlythe OS calcis, but, if
. Text-book of operative surgery . Fig. 147.—Excisiou of os calcis. OPERATIVE SURGERY. Fig. 148. -Resection of the posterior tarsus(Kocher). sustentaculum tali. Lastly, the os calcis is seized with a streng pair of forceps, andthe internal lateral ligament of the ankle-joint, the subjacent calcaneo-astragaloidcapsule, and (anteriorly) the ligaments connectmg the tibia with the scaphoid andos calcis are detached. Landerer recommends a mesial longitudinal incision extending from the tendoAchillis over the heel into the sole of the foot. By this incision he removes not onlythe OS calcis, but, if necessary, all the other bones of the tarsus. He asserts that thescar does not in any Avay interfere with Walking. 9. Astragalo-Calcanean Arthrectomy and Posterior Tarsectomy. Excision ofthe Joint between the astragalus and os calcis was perforraed by Annandale by two lateral curved incisions, although it canalso be effectecl by the method abovedescribed for excising the os calcis^ orby a modification of the following methodfor excision of the posterior tarsus. Excision of the j^os
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