. Manual of operative surgery. Fig. 1541. Fig. 1542. Figs. 1541 and 1542.—Tendon shortening. (Labey.) Transplantation of a Slip from the Ext. Proprius Hallucis to the ExtensorCommunis Digitonmi. Shortening of the Tibialis Anticus. Step I.—From a point at least five fingers breadth above the intermalleolarspace make a median incision downwards. Curve the lower end of the cutslightly upwards. Divide the skin alone. Preserve, if possible, the terminalfilaments of the musculo-cutaneous nerve in the subcutaneous tissue. Step 2:—Split the deep fascia. To the inner side of the tendon of theext. commu
. Manual of operative surgery. Fig. 1541. Fig. 1542. Figs. 1541 and 1542.—Tendon shortening. (Labey.) Transplantation of a Slip from the Ext. Proprius Hallucis to the ExtensorCommunis Digitonmi. Shortening of the Tibialis Anticus. Step I.—From a point at least five fingers breadth above the intermalleolarspace make a median incision downwards. Curve the lower end of the cutslightly upwards. Divide the skin alone. Preserve, if possible, the terminalfilaments of the musculo-cutaneous nerve in the subcutaneous tissue. Step 2:—Split the deep fascia. To the inner side of the tendon of theext. communis, recognize and isolate the tendon of the ext. proprius hallucis. Step —Split longitudinally the tendon of the ext. proprius into an outerand inner segment. Divide the outer segment transversely at the level of theannular ligament (Fig. 1540). Step 4.—Pull the ext. com. digitorum upwards, strongly flexing the a longitudinal button-hole in this tendon and pull through the button- I2IO TENDON SHEATHS AN
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