. Operative surgery. Fig. 583.—Plantarincision. Fig. 584.—Internal ligaments. OS caleis is then removed (Fig. 585) and the flaps are united in properposition. Fig. 586 shows the appearance of the stump after union ofthe flaps. 508 OPERATIVE Fig. ) -Bones separated (De Ligne-Bones sawed (Hancock). The Results. Over twelve per cent are reported to have died from the operation alone. VerneuiVs Method.—In Verneuils operation the incision is begun at theouter tuberosity of the os calcis about an inch below the external malleolus and carried forward to within three fourthsof an i
. Operative surgery. Fig. 583.—Plantarincision. Fig. 584.—Internal ligaments. OS caleis is then removed (Fig. 585) and the flaps are united in properposition. Fig. 586 shows the appearance of the stump after union ofthe flaps. 508 OPERATIVE Fig. ) -Bones separated (De Ligne-Bones sawed (Hancock). The Results. Over twelve per cent are reported to have died from the operation alone. VerneuiVs Method.—In Verneuils operation the incision is begun at theouter tuberosity of the os calcis about an inch below the external malleolus and carried forward to within three fourthsof an inch of the base of the fifth meta-tarsal bone; then over the dorsum to themiddle of the internal cuneiform; thenceobliquely across the sole by the shortestroute to the commencement of the in-cision. The flap is raised and disarticu-lation accomplished in the usual the head of the astragalus be too prom-inent it should be sawed off. The Heel-flap Method.—In the heel-flap operation begin the plantar incisionhalf an inch below the external malleolus, carry it transversely acrossthe sole to within an inch of the internal malleolus. The dorsal in-cision is begun at one end of the plantar incision and is carried down-ward and forward
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