. Operative surgery. placed at half this distance below the level of theapex of the patella. The integument is reflected up on a line with the apexof the patella, leg flexed, ligamentum patellae divided, the blade passedbetween the head of the tibia and the semilunar cartilages, the soft partsat the back of the joint are cut across, and the limb is removed. The Amputation hy the Circular-flap Method.—Extend the leg and makea circular incision around it, about four inches below the patella, through Fig. 621.—Amputation by circular method. the integument and subcutaneous tissues. Dissect up the
. Operative surgery. placed at half this distance below the level of theapex of the patella. The integument is reflected up on a line with the apexof the patella, leg flexed, ligamentum patellae divided, the blade passedbetween the head of the tibia and the semilunar cartilages, the soft partsat the back of the joint are cut across, and the limb is removed. The Amputation hy the Circular-flap Method.—Extend the leg and makea circular incision around it, about four inches below the patella, through Fig. 621.—Amputation by circular method. the integument and subcutaneous tissues. Dissect up the flap to a line cor-responding to the apex of the patella; flex the leg and divide the liga-mentum patellae at the apex of the bone; open the joint in front, anddivide the lateral ligaments close to the tibia so that the semilunar car- AMPUTATION AT THE LOWER EXTREMITY. 527 tilages will remain connected with the femur. Flex the leg and cut thecrucial ligaments. Pass a long knife between the bones, extend the leg,. Pig. 633.—Antero-posterior coaptation.
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
