. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . ver, be said that thedivision should not be com-pleted with the saw, but bygentle extension so as togradually overcome the resist-ance of the posterior part of the bone. After the operation isover, and the limb straightened as nearly as desired, a trough-shaped posterior splint should be used, to maintain the parts asmuch as possible at absolute rest unt
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . ver, be said that thedivision should not be com-pleted with the saw, but bygentle extension so as togradually overcome the resist-ance of the posterior part of the bone. After the operation isover, and the limb straightened as nearly as desired, a trough-shaped posterior splint should be used, to maintain the parts asmuch as possible at absolute rest until union is accomplished. Knee Joint.—Excision of the knee joint may be required incases of chronic disease of that articulation, and may be occa-sionally justifiable in cases of compound fracture or dislocation,or of angular anchylosis. This operation appears to have beenfirst performed by Filkin, of Norwich, in 1762 (the case termi-nating in recovery), and was again successfully done by Park,in 1781. So little favor, however, did the procedure meet within the eyes of surgeons generally, that thirty years ago it hadbeen performed in all but twenty times. Revived by Textor, inGermany, and by Fergusson, in England (the last-named sur-. 760 SCIENCE AND ART OF SURGERY. Fig. 416. geon operating for the first time in 1850), it has since beenresorted to so frequently, that its statistics are now more exten-sive that those of any other excision. Resection of the Knee Joint.*—This operation may be hadrecourse to in cases of disease of the knee, where the alternative isamputation. With the question of the choice between these twoprocedures we cannot here deal. Operation.—The patient must be thoroughly etherized, andlaid upon his back on a firm table. An incision is then made,either (as in Fig. 416) directly across the joint, on a level withthe head of the tibia ; or in a curved line with the convexity downward, and terminating oneach side just behind the femo-ral condyles; or by m
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