. Minor and operative surgery, including bandaging . Ligation of the dorsalis pedis artery. (Bryant.) Lines of incision for theposterior tibial artery.(Stimson.) superficial fascia, avoiding large superficial veins; nextopen the deep fascia and detach the origin of the soleusmuscle from the tibia, and on raising it the under surfacewill present a white, shining sheath of tendinous material,beneath which will be seen a layer of fascia covering the LIGATION OF THE POSTERIOR TIBIAL ARTERY. 479 tibialis posticus muscle. If search is made toward themiddle of the leg the artery will be found covered
. Minor and operative surgery, including bandaging . Ligation of the dorsalis pedis artery. (Bryant.) Lines of incision for theposterior tibial artery.(Stimson.) superficial fascia, avoiding large superficial veins; nextopen the deep fascia and detach the origin of the soleusmuscle from the tibia, and on raising it the under surfacewill present a white, shining sheath of tendinous material,beneath which will be seen a layer of fascia covering the LIGATION OF THE POSTERIOR TIBIAL ARTERY. 479 tibialis posticus muscle. If search is made toward themiddle of the leg the artery will be found covered by theintermuscular fascia, the nerve being to the outer needle is passed from without inward after the veinshave been separated from the artery (Fig. 371). Fig. Relations of the right posterior tibial artery in its upper third. (Esmakch.) Posterior Tibial Artery at its Middle Third.—The incisionis two and a half inches in length, parallel with the inneredge of the tibia and half an inch from its border. Dividethe skin, superficial and deep fascia, and the inner edgeof the soleus will be exposed ; press this outward, when theartery with its veins will be exposed, also the posteriortibial nerve to the outer side. Pass the needle from with-out inward after separating the veins. Posterior Tibial Artery behind the Inner Malleolus.—Theincision is a curved one two inches in length, midway be-tween the tendo-Achillis and the internal malleolus (Fig. 480 OPERATIONS. 370). Divide the skin and superficial fascia, then liftthe deep fascia upon a director and open it freely, whenthe artery will be exposed, with the tendons of the tibialisposticus and flexor longus digitorura muscles on the innerside and the posterior tibial nerve and the tendon of the
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