. Operative surgery. as much as possible ofthis bone be saved, as it forms through important ligaments the posteriorpillar of the arch of the foot and also gives attachment to the tendo Achil-lis which exerts a powerful influence in locomotion. A knowledge of theperiods of ossification of the centers of this bone is important indeed inyoung subjects, and emphasizes the wisdom of being conservative and care-ful. When gouging fails to remove the diseased bone excision becomes thefinal resort. The Operation.—A horseshoe-shaped incision is begun a little in front ofthe calcaneo-cuboid articulation
. Operative surgery. as much as possible ofthis bone be saved, as it forms through important ligaments the posteriorpillar of the arch of the foot and also gives attachment to the tendo Achil-lis which exerts a powerful influence in locomotion. A knowledge of theperiods of ossification of the centers of this bone is important indeed inyoung subjects, and emphasizes the wisdom of being conservative and care-ful. When gouging fails to remove the diseased bone excision becomes thefinal resort. The Operation.—A horseshoe-shaped incision is begun a little in front ofthe calcaneo-cuboid articulation and carried backward along the side of thefoot around the base of the os calcis to a corresponding point on the oppositeaspect. This fiap, with the knife hugging the bone, is dissected up, expos-ing the entire under surface of the os calcis (Fig. 424, excision of os calcis).A second perpendicular incision about two inches in length is then madethrough the middle of the tendo Achillis down to the preceding one. The. Fig. 424.—Excision of os calcis. resulting flaps are dissected off close to the bone, the articulation betweenthe calcaneum and the astragalus is opened posteriorly, the ligamentous con-nections are severed, together with those between the calcaneum and the28 410 OPERATIVE SURGERY.
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
