. Manual of operative surgery. Gracilis.!. Fig. 1313.—Goldthwaites operation. Fig. 1314. Whitelockes Operation—(Brit. Journ Surg., II, 12).—i. Reflect a large,horseshoe-shaped flap of skin and fascia with its base in front and its apex reach-ing backwards to the line of the medial ham-strings. The base of the flap cor-responds to the medial margins of the patella and its hgament. 2. Expose the ligamentum patellae for about ^ inch and perforate it forabout }A inch in the middle line. 3. Recognize the Sartorius muscle by the direction of its muscular the fascial attachment of this
. Manual of operative surgery. Gracilis.!. Fig. 1313.—Goldthwaites operation. Fig. 1314. Whitelockes Operation—(Brit. Journ Surg., II, 12).—i. Reflect a large,horseshoe-shaped flap of skin and fascia with its base in front and its apex reach-ing backwards to the line of the medial ham-strings. The base of the flap cor-responds to the medial margins of the patella and its hgament. 2. Expose the ligamentum patellae for about ^ inch and perforate it forabout }A inch in the middle line. 3. Recognize the Sartorius muscle by the direction of its muscular the fascial attachment of this muscle above and behind and retract itsposterior edge forwards to expose the tendon of the gracilis which lies proximalto the semitendinosus. Free the gracflis from its surroundings, being careful notto injure some vessels and a nerve which run parallel to it. Divide the gracilisas close to its tibial insertion as possible. At its insertion the tendon spreadsout into a thin expansion about 2 inches in vertical diameter.
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